Hernia

, Volume 1, Issue 2, pp 89–92 | Cite as

A direct approach for the treatment of parastomal hernias using a prosthesis

A report of 15 cases
  • C. Meyer
  • N. de Manzini
  • S. Rohr
  • O. Firtion
  • C. Bourtoul
Papers

Summary

A technique for the surgical treatment of parastomal hernias is described which uses a direct approach and the insertion of a polyester prosthesis in the retro- or inter-muscular position. Fifteen patients have been so treated without immediate complications, namely infectious. Two recurrences have been recorded 8 and 18 months afterwards, the average follow-up being 4 years. This technique allows an effective treatment of these hernias even in the presence of associated complications (fistula, stenosis, prolapse).

Key words

Parastomal hernia surgery Colostomy Absominal wall prosthesis 

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References

  1. Abdu RA (1982) Repair of paracolostomy hernias with Marlex mesh. Bis Colon Rectum 25: 529Google Scholar
  2. Alexandre JH, Bouillot JL (1983) Parastomal hernia: repair with use of a Dacron Prosthesis. World J Surg 17: 680–682.CrossRefGoogle Scholar
  3. Cevese PG, d'Amico DF, Biasiato R, Frego MG, Tropea A, Giaconi MA, Blancheria GG (1984) Peristomical hernia following end-colostomy: a conservative approach. Int J Surg Sci 14: 3Google Scholar
  4. Chevrel JP, Flament JB (1990) Les éventrations de la paroi abdominale, Masson, Paris, pp 136–143Google Scholar
  5. Condon RE (1995) Peristomal hernia. In: (Auterur: veuillez indiquer le nom de Rédacteur en Chef) (eds) Hernia, 4th edn. Lippincott, Philadelphia, pp 337–339Google Scholar
  6. Cuilleret K, Bou V, Burgard G (1990) Traitement des éventrations juxta-stomiales par voie intrapéritonéale ans transposition, Lyon Chir 86: 473–476Google Scholar
  7. Leslie D (1984) The parastomial hernia. Surg Clin North Am 64: 407PubMedGoogle Scholar
  8. London-Schimmer EE, Leong APK, Phillips RKS (1994) Life table analysis of stomal commplications following colostomy. Dis Colon Rectum 37: 916–920CrossRefGoogle Scholar
  9. de Manzini N, Rohr S, Thiry Ch, Meyer Ch (1993) Traitement des éventrations péri-stomiales par abord direct et prothèse rétro-musculaire. Lyon Chir 89: 287–289.Google Scholar
  10. Ortiz H, Sara MJ, Armendariz P, de Miguel M, Marti L, Chocarro C (1994) Does the frequency of paracolostomy hernias depend on the position of the colostomy in the abdominal wall? Int J Colorect Dis 9: 65–67.CrossRefGoogle Scholar
  11. Priam GW, Sawyer KC (1975) Reparis of peristomal colostomy hernias. Am J Surg 130: 694CrossRefGoogle Scholar
  12. Rosin JD, Bonardi RA (1977) Paracolostomy hernia repair with Marlex mesh: a new technique. Dis Colon Rectum 20: 299PubMedGoogle Scholar
  13. Rubin MS, Schoetz DJ, Matthews JB (1994) Parastomal hernia. Is stoma relocation superior to fascial repair? Arch Surg 129: 413–419PubMedGoogle Scholar
  14. Sjodahl R, Anderberg B, Boint T (1988) Parastomal hernia in relation to site of the abdominal stoma. Br J Surg 75 339–341PubMedGoogle Scholar
  15. Stephenson C, Phillips RKS (1995) Parastonal hernia: local resiting and mesh repair. Br J Surg 82: 1395–1396PubMedGoogle Scholar
  16. Sugarbaker PH (1989) Prevention of hernia after enterostomy. Surg Gynec Obstet 169: 75–77PubMedGoogle Scholar
  17. Thorlakson RH (1980) Technique of repair of herniations associated with colonic stomas. Surg Gynecol Obstet 120: 347Google Scholar

Copyright information

© Springer-Verlag 1997

Authors and Affiliations

  • C. Meyer
    • 1
  • N. de Manzini
    • 1
  • S. Rohr
    • 1
  • O. Firtion
    • 1
  • C. Bourtoul
    • 1
  1. 1.Service de Chirurgie Générale et Digestive, Centre de Chirurgie Viscérale d'Urgence et de TransplantationCHU de Strasbourg HautepierreStrasbourgFrance

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