AI Article Synopsis
- Parastomal hernia is a common complication after stoma surgery, and prosthetic surgery is often the preferred treatment option.
- The authors share their experience treating 8 patients with parastomal hernias after abdominal perineal resection for lower rectum cancer, using a specially shaped polypropylene mesh.
- Out of the cases, there was one wound infection, but no recurrences were observed in the patients over a 3-year follow-up, indicating that this mesh technique is both safe and effective.
Article Abstract
Following stoma construction, parastomal hernia is the most frequent complication. Many surgical techniques have been postulated for these patients, and prosthetic surgery represents the first-choice treatment. We report our personal experience with 8 cases of parastomal hernia in patients submitted to abdominal perineal resection according to Miles, for carcinoma of the lower rectum. Polypropylene mesh was shaped according to the size of the fascial defects, characterized by a romboid incision about 4 cm in length. The mesh was placed in suprafascial position, after suturing the fascial tear. One case of wound infection occurred and, to date, none of the patients have presented with recurrence after a 3-year follow-up. In conclusion, the use of polypropylene mesh for parastomal hernia repair represents a safe and successful technique.
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| http://dx.doi.org/10.1007/pl00012130 | DOI Listing |
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