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Laparoscopic and Robotic Repair of Parastomal Hernias

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Management of Abdominal Hernias

Abstract

The laparoscopic application to the repair of these hernias has proven to be an improvement to the open repair. There have been many approaches to these repairs, but the use of mesh is preferred in all cases. The use of a keyhole to allow exit of the intestine through the mesh has proven to be associated with an unacceptably high recurrence rate. The Sugarbaker and modified Sugarbaker repairs have been shown to be the most successful methods. These operations can be done via the laparoscopic or robotically assisted laparoscopic techniques. This chapter will discuss the methodology of these similar repairs as well as the results that have been reported in the literature. The infancy of the robotic repair relies on the experience of the author as there are no current data to report.

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References

  1. M Ś, Szczepkowski M, Alexandre JA, Berger D, Bury K, Conze J, Hansson B, Janes A, Miserez M, Mandala V, Montgomery A, Morales Conde S, Muysoms F. European Hernia Society classification of parastomal hernias. Hernia. 2014;18(1):1–6.

    Article  Google Scholar 

  2. Safadi B. Laparoscopic repair of parastomal hernias: early results. Surg Endosc. 2004;18:676–80.

    Article  CAS  PubMed  Google Scholar 

  3. Hansson BME, Bleichrodt RP, DeHingh IH. Laparoscopic parastomal hernia repair using a keyhole technique results in a high recurrence rate. Surg Endosc. 2009;23:1456–9.

    Article  CAS  PubMed  Google Scholar 

  4. LeBlanc KA, Bellanger DE, Whitaker JM, Hausmann MG. Laparoscopic parastomal hernia repair. Hernia. 2005;9:140–4.

    Article  CAS  PubMed  Google Scholar 

  5. LeBlanc KA. Mesh overlap is a key determinant of hernia recurrence following laparoscopic ventral and incisional hernia repair. Hernia. 2016;20(1):85–9.

    Article  CAS  PubMed  Google Scholar 

  6. P W, Andersen LM. Long-term follow-up of laparoscopic repair of parastomal hernia using a bilayer mesh with a slit. Surg Endosc. 2011;25(2):526–30.

    Article  Google Scholar 

  7. Liu F, Li J, Wang S, Yao S, Zhu Y. Effectiveness analysis of laparoscopic repair of parastomal hernia using CK Parastomal patch. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2011;25(6):681–4.

    Google Scholar 

  8. Mizrahi H, Bhattacharya P, Parker MC. Laparoscopic slit mesh repair of parastomal hernia using a designated mesh: long-term results. Surg Endosc. 2012;26(1):267–70.

    Article  CAS  Google Scholar 

  9. Berger D, Bientzle M. Laparoscopic repair of parastomal hernias: a single surgeon’s experience in 66 cases. Dis Colon Rectum. 2007;50(10):1668–73.

    Article  Google Scholar 

  10. Berger D, Bientzle M. Polyvinylidene fluoride: a suitable mesh material for incisional and parastomal hernia repair. A prospective observational study of 344 patients. Hernia. 2009;13(2):167–72.

    Article  CAS  Google Scholar 

  11. Mancini GJ, McClusky DA 3rd, Khaitan L, Goldenberg EA, Heniford BT, Novitsky YW, et al. Laparoscopic parastomal hernia repair using a nonslit mesh technique. Surg Endosc. 2007;21(9):1487–91.

    Article  CAS  Google Scholar 

  12. McLemore EC, Harold KL, Efron JE, Laxa BU, Young-Fadok TM, Heppell JP. Parastomal hernia: short-term outcome after laparoscopic and conventional repairs. Surg Innov. 2007;14(3):199–204.

    Article  Google Scholar 

  13. Craft RO, Huguet KL, McLemore EC, Harrold KL. Laparoscopic parastomal hernia repair. Hernia. 2008;12(2):137–40.

    Article  CAS  Google Scholar 

  14. BM H, Slater NJ, van der Velden AS, Groenewoud HM, Buyne OR, de Hingh IH, Bleichrodt RP. Surgical techniques for parastomal hernia repair. Ann Surg. 2012;255(4):685–95.

    Article  Google Scholar 

  15. DeAsis FJ, Lapin B, Gitelis ME, Ujiki MB. Current state of laparoscopic parastomal hernia repair: a meta-analysis. World J Gastroenterol. 2015;21(28):8670–7.

    Article  PubMed  Google Scholar 

  16. Bittner R, Bingener-Casey J, Dietz U, Fabian M, Ferzli G, Fortelny R, Köckerling F, Kukleta J, LeBlanc K, Lomanto D, Misra M, Morales-Conde S, Ramshaw B, Reinpold W, Rim S, Rohr M, Schrittwieser R, Simon T, Smietanski M, Stechemesser B, Timoney M, Chowbey P. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (international endohernia society [IEHS])-part III. Surg Endosc. 2014;28(2):380–404.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Karl A. LeBlanc MD, MBA, FACS, FASMBS .

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LeBlanc, K.A. (2018). Laparoscopic and Robotic Repair of Parastomal Hernias. In: LeBlanc, K., Kingsnorth, A., Sanders, D. (eds) Management of Abdominal Hernias. Springer, Cham. https://doi.org/10.1007/978-3-319-63251-3_35

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  • DOI: https://doi.org/10.1007/978-3-319-63251-3_35

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-63250-6

  • Online ISBN: 978-3-319-63251-3

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