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Updated: Feb 5, 2026
05:15
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
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Prevention of Parastomal Hernia
Ian T MacQueen1, Philipp Kirchhoff2, David C Chen1
1Lichtenstein Amid Hernia Clinic, David Geffen School of Medicine at University, of California, Los Angeles, Santa Monica, CA.
Surgical Technology International
|September 12, 2018
Summary
Prophylactic mesh placement during stoma creation can prevent parastomal hernias (PSH). Evidence supports permanent mesh, but optimal materials and techniques for PSH prevention require further study.
Area of Science:
- Surgical innovation
- Hernia repair
- Gastrointestinal surgery
Background:
- Parastomal hernia (PSH) is a common complication following stoma formation.
- Evidence suggests prophylactic mesh can prevent PSH development.
- Various mesh materials and surgical techniques are employed for PSH prophylaxis.
Purpose of the Study:
- To provide an overview of operative techniques for parastomal hernia prophylaxis.
- To review the evidence supporting the use of mesh in preventing parastomal hernias.
- To highlight the need for further research into optimal PSH prevention strategies.
Main Methods:
- Review of existing literature on parastomal hernia prophylaxis.
- Analysis of studies evaluating different mesh materials (polypropylene, polyester, PTFE, composites).
- Examination of various mesh placement techniques (2D, 3D, keyhole, non-keyhole, specialized devices).
Main Results:
- Permanent mesh has demonstrated efficacy in preventing PSH, particularly in end colostomy creation.
- Two-dimensional and three-dimensional meshes, as well as specialized devices, have been studied for PSH prevention.
- Insufficient evidence currently supports the use of biologic or bioabsorbable materials for primary PSH prevention.
Conclusions:
- Mesh prophylaxis is beneficial for preventing parastomal hernias.
- Further research is necessary to determine the optimal mesh materials and surgical techniques for PSH prevention across diverse patient populations and clinical settings.
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