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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
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Case of laparoscopic parastomal hernia repair using modified Sugarbaker mesh method
Yuki Tsuchiya1,2, Hiromitsu Takahashi1, Yosiro Ishibiki1
1Department of Surgery, Gastrointestinal Surgery, Juntendo Tokyo koto Geriatric Medical Center, Tokyo, Japan.
Journal of Surgical Case Reports
|November 23, 2022
Summary
This study details a successful laparoscopic repair of a parastomal hernia (PSH) using the Sugarbaker approach with advanced mesh technology. The minimally invasive technique ensured no recurrence at six months, highlighting its effectiveness for PSH management.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Hernia Repair
Background:
- Parastomal hernias (PSH) are a common complication following colostomy.
- Traditional surgical repair methods have varying recurrence rates.
- Minimally invasive techniques are increasingly explored for PSH management.
Observation:
- A 75-year-old female presented with abdominal discomfort due to a parastomal hernia.
- Computed tomography confirmed the presence of the parastomal hernia.
- The patient had a history of sigmoid colon resection and transverse colostomy.
Findings:
- Laparoscopic repair of the parastomal hernia was performed using the Sugarbaker approach.
- A Symbotex Composite Mesh™ with collagen film was utilized for the repair.
- The patient experienced an unremarkable postoperative course with no recurrence at 6 months.
Implications:
- Laparoscopic repair with mesh, specifically the Sugarbaker method, offers a tension-free and effective solution for parastomal hernias.
- This approach may reduce recurrence rates compared to traditional open repairs.
- The use of advanced mesh materials like Symbotex Composite Mesh™ shows promise in hernia surgery.
