Document Detail


Prevention of parastomal hernias by prophylactic use of a specially designed intraperitoneal onlay mesh (Dynamesh IPST).
MedLine Citation:
PMID:  18071839     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Hernias around ostomies are a very common complication, exceeding 50%. Only a few studies deal with the prophylactic use of mesh to prevent parastomal hernia revealing promising results. PATIENTS AND METHODS: Twenty-two patients undergoing elective rectal surgery with a permanent colostomy--one with an ileostomy and two needing surgical correction of a preexisting colostomy--were enrolled in a prospective study. A specially designed mesh made of polyvinylidene fluoride with a central whole and a funnel arising (Dynamesh IPST) was prophylactically implanted using an intraperitoneal onlay technique. The patients were followed for a median of 11 (range 2-19) months by clinical examination every 3 months. RESULTS: No infection or any other adverse effect was observed, and no parastomal hernia or stoma protrusion could be detected clinically. Twelve patients had a routine computed tomography after 6 months, which also excluded any hernia formation. CONCLUSION: The prophylactic use of Dynamesh IPST) is a safe and effective procedure preventing stoma complications such as hernia formation or prolapse, at least in the short run.
Authors:
D Berger
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Publication Detail:
Type:  Journal Article     Date:  2007-12-11
Journal Detail:
Title:  Hernia : the journal of hernias and abdominal wall surgery     Volume:  12     ISSN:  1265-4906     ISO Abbreviation:  Hernia     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-05-30     Completed Date:  2009-01-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9715168     Medline TA:  Hernia     Country:  France    
Other Details:
Languages:  eng     Pagination:  243-6     Citation Subset:  IM    
Affiliation:
Department of Surgery, Stadtklinik, Balgerstrasse 50, 76532 Baden-Baden, Germany. d.berger@klinikum-mittelbaden.de
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Colostomy*
Female
Hernia, Ventral / prevention & control*
Humans
Male
Middle Aged
Polyvinyls
Postoperative Complications / prevention & control*
Prospective Studies
Risk Factors
Surgical Mesh*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Polyvinyls; 24937-79-9/polyvinylidene fluoride

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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