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Robotic sugarbaker parastomal hernia repair: updated series and outcomes.
Hernia
January 2025
Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, 1025 Morehead Medical Drive Suite 300, Charlotte, NC, 28204, USA.
Purpose: To present updated outcomes after previously describing a novel technique for the robotic repair of parastomal hernias.
Methods: Patients who underwent parastomal hernia repair with a robotic Sugarbaker technique at a tertiary hernia center were identified from an institutional database. The approach involves mesh placement in the intraperitoneal or preperitoneal position after closure of the fascial defect.
Use of prophylactic mesh to prevent parastomal hernia formation: a systematic review, meta-analysis and network meta-analysis.
Hernia
November 2024
Scott Department of Urology, Baylor College of Medicine, 7200 Cambridge St., Floor 10, Suite C, Houston, TX, 77030, USA.
Purpose: To evaluate the effectiveness of prophylactic mesh placement in reducing the incidence of parastomal hernias following colostomy, ileostomy, and ileal conduit formation.
Methods: A systematic review identified relevant studies evaluating parastomal hernia incidence with prophylactic mesh use during stoma formation. Pairwise meta-analysis and network meta-analysis using Bayesian modeling were performed.
Delayed vs single-staged abdominal wall reconstruction in contaminated ventral hernia.
Hernia
November 2024
Center for Abdominal Core Health, Cleveland Clinic, 2049 E 100th St, Desk, A-100, Cleveland, OH, 44106, USA.
Article Synopsis
- Surgeons face a choice between single-stage or delayed repair for contaminated ventral hernias, and this study compares outcomes of both methods regarding wound complications, hernia recurrence, and quality of life.
- Data was analyzed from patients who had abdominal wall reconstruction (AWR) with synthetic mesh from January 2014 to August 2023, assessing outcomes for those who had delayed and single-staged repairs.
- Findings showed that both groups had similar rates of wound complications, reoperations, and hernia recurrence, suggesting that either repair method might be equally effective in this context.
Long-term outcomes after open parastomal hernia repair at a high-volume center.
Surg Endosc
January 2025
Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA.
Background: Open parastomal hernia repairs (OPHR) are complex with high recurrence rates and no clear optimal technique. This report summarizes long-term OPHR outcomes at a high-volume hernia center.
Methods: OPHRs were identified from a prospectively maintained institutional database.
Evaluating the Effect of a Novel Digital Ostomy Device on Leakage Incidents, Quality of Life, Mental Well-Being, and Patient Self-Care: An Interventional, Multicentre Clinical Trial.
J Clin Med
September 2024
Coloplast A/S, Holtedam 1, 3050 Humlebæk, Denmark.
Most people with a stoma worry about leakage, and a quarter experience leakage of stomal effluent outside the baseplate on a monthly basis. Leakage has additional physical and psychosocial consequences, for instance, peristomal skin complications, feeling unable to cope, and self-isolation. An interventional, single-arm, multi-centre study was undertaken in the United Kingdom to evaluate a novel digital leakage notification system for ostomy care, including a support service (=test product) for 12 weeks in patients with a recent stoma formation (≤9 months).
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