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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
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Parastomal Hernia Repair with Intraperitoneal Mesh.
Pia Näsvall1,2, Jörgen Rutegård2, Michael Dahlberg1
1Department of Surgery, Sunderby Hospital, Umeå University, Luleå, Sweden.
Surgery Research and Practice
|December 6, 2017
Summary
This study evaluated a new mesh for parastomal hernia repair. While complications occurred, the mesh showed potential for managing this common stoma complication.
Area of Science:
- Surgical innovation in hernia repair.
- Gastrointestinal surgery and stoma care.
Background:
- Parastomal hernia is a frequent post-stoma complication.
- Current mesh repairs have high recurrence and complication rates.
Purpose of the Study:
- To assess the safety and recurrence rates of a novel double-layer intraperitoneal on-lay mesh (IPOM) for parastomal hernia repair.
- Evaluate the Parastomal Hernia Patch (BARD™) in a prospective multicenter study.
Main Methods:
- Fifty patients with parastomal hernia underwent surgery using the Parastomal Hernia Patch.
- Preoperative assessment included clinical examination and CT scan.
- Postoperative follow-up at one month and one year monitored complications and recurrence.
Main Results:
- Thirty percent of patients experienced postoperative complications within one month.
- The parastomal hernia recurrence rate at one year was 22%.
- Reoperation rates were 14% at one month and an additional 10% within the first year.
Conclusions:
- The Parastomal Hernia Patch demonstrated a 22% recurrence rate at one year.
- Further investigation is needed to optimize outcomes for parastomal hernia management.
