Skip to main content
SpringerLink
Log in

Promising new technique in the repair of parastomal hernia

  • Original article
  • Published:
Surgical Endoscopy And Other Interventional Techniques Aims and scope Submit manuscript

Abstract

Parastomal hernia is a common complication after stoma formation. Although not all hernias require surgical repair, a variety of surgical techniques exist. Facial repair, relocation of the stoma, and the local use of a nonabsorbable mesh are the three major approaches. Despite this variety of techniques, recurrence rate and complications are high. We therefore invented a laparoscopic technique where we close the hernia and reinforce it with a hand-made “funnel-shaped” Gore-Tex dual mesh. This technique has all advantages of laparoscopy (less pain, short hospitalization) combined with the advantages of local mesh repair (no stoma replacement necessary, low recurrence rate). The risk of infection is also minimized. The shape of the Gore-Tex mesh reduces hernia recurrence even more, prevents prolaps, and allows easy colonoscopy and stoma irrigation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Figure 1
Figure 2
Figure 3

Similar content being viewed by others

References

  1. P De Ruiter AB Bijnen (1992) ArticleTitleSuccessful local repair of paracolostomy hernia with a newly developed prosthetic device. Int J Colorect Dis 7 132–134 Occurrence Handle1:STN:280:ByyD3Mfkt1U%3D

    CAS  Google Scholar 

  2. PM Kazlowski PC Wang HN Winfield (2001) ArticleTitleLaparoscopic repair of incisional and parastomal hernias after major genitourinary or abdominal surgery. J Endourol 15 175–179 Occurrence Handle10.1089/089277901750134520 Occurrence Handle11325089

    Article  PubMed  Google Scholar 

  3. L Köhler (1997) ArticleTitleParastomale hernie-Technik und Ergebnisse. Zentralbl Chir 122 889–892 Occurrence Handle9446452

    PubMed  Google Scholar 

  4. J Porcheron B Payan JG Balique (1998) ArticleTitleMesh repair of paracolostomal hernia by laparoscopy. Surg Endosc 12 1281 Occurrence Handle10.1007/s004649900838 Occurrence Handle1:STN:280:DyaK1cvislWitA%3D%3D Occurrence Handle9745074

    Article  CAS  PubMed  Google Scholar 

  5. BJ Ramshaw P Esartia J Schwab EM Manson RA Wilson TD Duncan J Miller GW Lucas J Promes (1999) ArticleTitleComparison of laparoscopic and open ventral herniorrhaphy. Am Surg 65 827–831 Occurrence Handle1:STN:280:DyaK1MvhtFyrtw%3D%3D Occurrence Handle10484084

    CAS  PubMed  Google Scholar 

  6. MS Rubin DJ Schoetz JB Matthews (1994) ArticleTitleParastomal hernia. Arch Surg 129 413–419 Occurrence Handle1:STN:280:ByuB3cnhvFE%3D Occurrence Handle8154967

    CAS  PubMed  Google Scholar 

  7. R Sjödahl B Anderberg T Bolin (1988) ArticleTitleParastomal hernia in relation to site of the abdominal stoma. Br J Surg 75 339–341 Occurrence Handle2965951

    PubMed  Google Scholar 

  8. A Voitk (2000) ArticleTitleSimple technique for laparoscopic paracolostomy hernia repair. Dis Colon Rectum 43 1451–1453 Occurrence Handle1:STN:280:DC%2BD3crgtl2ktA%3D%3D Occurrence Handle11052526

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, University Medical Center, Nijmegen, The Netherlands

    B. M. E. Hansson, E. J. van Nieuwenhoven & R. P. Bleichrodt

Authors
  1. B. M. E. Hansson
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. E. J. van Nieuwenhoven
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. R. P. Bleichrodt
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to B. M. E. Hansson.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hansson, B., van Nieuwenhoven, E. & Bleichrodt, R. Promising new technique in the repair of parastomal hernia . Surg Endosc 17, 1789–1791 (2003). https://doi.org/10.1007/s00464-002-9249-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-002-9249-0

Keywords

Search

Navigation