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Updated: Jan 22, 2026

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Published on: December 23, 2022

腹壁ヘルニア予防のための新規手技：結腸造設術への腹膜外経路と筋層後方予防メッシュの組み合わせ

Jianlin Xiao¹, Mingtian Wei¹, Xiangbing Deng¹

¹Department of General Surgery, Colorectal Cancer Center, West China Hospital, Sichuan University, Chengdu, China.

Updates in surgery

|January 21, 2026

Abstract:

Parastomal hernia (PSH) is a common complication following stoma formation. Although prophylactic mesh placement initially showed that promise, recent long-term follow-up randomized trials have demonstrated its ineffectiveness. To enhance PSH prevention, modifications in technique are necessary. We introduced a novel laparoscopic method, the laparoscopic extraperitoneal route to colostomy combined with retromuscular prophylactic mesh. This study documents detailed surgical procedures and postoperative outcomes. Up to now, after a median follow-up of 13 (range: 12-16) months, none of the five subjects in our study cohort experienced a PSH or other serious complication. Impressively, all these patients were followed up for over 1 year. In conclusion, the laparoscopic extraperitoneal route to colostomy combined with retromuscular prophylactic mesh appears to be safe and feasible for patients who need permanent sigmoidostomy. The procedure provides a novel option for those patients.

キーワード:

メッシュ腹壁ヘルニア永久結腸造設術

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