Patient Reoperations for Late Complications of Surgical Treatment of Parastomal Hernias – Own Experience

• Authors: Marek Szczepkowski , Grzegorz Gil
• Languages of publication: EN

Abstracts

EN

Parastomal hernias continue to be a significant clinical problem. Use of a synthetic material results in the best results of treatment of this pathology. However, treatment results are still unsatisfactory.is to present 6 cases of late complications of treatment of parastomal hernia using synthetic material, with successful surgical treatment.Material and methods. Among 52 surgical procedures of parastomal hernia repair using a synthetic material, 6 patients underwent late reoperation, including 4 women. Six reoperations were performed due to complications of parastomal hernia repair.Results. All cases of reoperation are presented and discussed in the study in order in which parastomal hernia repair procedures were performed.Conclusions. Presentation of 6 cases of patients treated for complications of the parastomal hernia repair procedure indicates that surgical technique of repair of this pathology is far from being perfect, although there has been a significant progress in this area over the past 20 years.

Keywords

EN

intestinal stoma; late complications of intestinal stoma; perastomal hernia; reoperations

• Journal: Polish Journal of Surgery
• Year: 2012
• Volume: 84
• Issue: 10
• Pages: 495-501

Dates

published

1 - 12 - 2012

online

28 - 12 - 2012

Contributors

author

Marek Szczepkowski

• Department of Rehabilitation, Institute of Rehabilitation in General and Colorectal Surgery at Department od Rehabilitation, Józef Piłsudski University of Physical Education in Warsaw / Clinical Department of General and Colorectal Surgery, Bielański Hospital in Warsaw

author

Grzegorz Gil

• Clinical Department of General and Colorectal Surgery, Bielański Hospital in Warsaw

References

• 1. Robertson I, Leung E, Hughes D et al.: Prospective analysis of stoma-related complications. ColorectalDis 2005; 7: 279-85.[Crossref]
• 2. Goligher J: Surgery of the Anus, Colon and Rectum (5th edn). Bailliere Tindall: London 1984; 703-04.
• 3. Allen-Mersh TG, Thomson JP: Surgical treatment of colostomy complications. Br J Surg 1988; 75: 416-18.
• 4. Rubin MS, Schoetz DJ Jr, Matthews JB: Parastomal hernia. Is stomal relocation superior to fascial repair? Arch Surg 1994; 129: 413-18; discussion 418-9.
• 5. Szczepkowski M, Gil G: Operacja naprawy dużej przepukliny okołostomijnej z użyciem materiału syntetycznego. Jak ja to robię. Chirurgia po dyplomie 2010; 5: 68-81.
• 6. Stoppa R, Rives J, Warlaumont CR: The use of Dacron in the repair of hernias of the groin. SurgClin North Am 1984; 64: 269-85.
• 7. Stoppa R: The treatment of complicated groin and incisional hernias. World J Surg 1989; 13: 545-54.[PubMed][Crossref]
• 8. Sugarbaker PH: Peritoneal approach to prosthetic mesh repair of paraostomy hernias. Ann Surg 1985; 201: 344-46.
• 9. Hofstetter WL, Vukasin P, Ortega AE et al.: New technique for mesh repair of paracolostomy hernias. Dis Colon Rectum 1998; 41: 1054-55.[PubMed][Crossref]
• 10. LeBlanc KA , Bellanger DE, Whitaker JM, HausmannMG: Laparoscopic parastomal hernia repair. Hernia 2005; 9(2): 140-44.[PubMed][Crossref]
• 11. Hansson BM, Bleichrodt RP, de Hingh IH: Laparoscopic parastomal hernia repair using a keyhole technique results in a high recurrence rate. Surg Endosc 2009; 23(7): 1456-59.[WoS][Crossref]
• 12. Berger D: Prevention of parastomal hernias by prophylactic use of a specially designed intraperitoneal onlay mesh (Dynamesh IPST). Hernia 2008; 12(3): 243-46.[Crossref][WoS][PubMed]
• 13. Aldridge AJ, Simson JN: Erosion and perforation of colon by synthetic mesh in a recurrent paracolostomy hernia. Hernia 2001; 5(2): 110-12.
• 14. Szczepkowski M, Gil G: Przedziurawienie okrężnicy przez siatkę syntetyczną po operacjach przepuklin okołostomijnych: późne powikłanie skutecznie leczone naprawą miejscową bez przemieszczania stomii lub usunięcia siatki. Proktologia 2008; 9(2): 217-23.

Identifiers

DOI

10.2478/v10035-012-0084-2