Parastomal hernia repair with the Sugarbaker technique using e-PTFE mesh View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2015-02-27

AUTHORS

Yuji Funayama, Ken-ichi Takahashi, Fumie Ikezawa, Sho Haneda, Fumito Saijo, Masumi Saito, Hiromi Tokumura

ABSTRACT

PurposesAlthough surgery is commonly used to treat parastomal hernia, it is very difficult and has shown poor results. Recently, repair with prosthetic materials has been thought to be a more promising method.MethodsThe Sugarbaker technique with e-PTFE mesh (Dualmesh®) performed via open surgery was adopted for seven patients with parastomal hernia. Two of them were recurrent cases. Three of the patients experienced incarceration of the intestine and recovered conservatively before surgery. The median age of the patients at the parastomal hernia repair was 77.6 years old (range 37.7–84.7).ResultsThe median operative time was 211 min (range 147–256). The median hernia size was 28 cm2 (range 7.5–60 cm2). The median amount of blood loss during the operation was 158 g (range 0–370 g). Surgical site infection was not observed. The postoperative median hospital stay was 17 days (range 13–40) and the median follow-up was 2.4 years (range 1.0–3.7). During the follow-up period, we did not observe recurrence or readmission.ConclusionsThe surgical results were satisfactory with minimal morbidity and no recurrences. The Sugarbaker technique for parastomal repair using e-PTFE mesh may be suitable as a standard method for treating parastomal hernia. More... »

PAGES

62-65

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00595-015-1137-z

DOI

http://dx.doi.org/10.1007/s00595-015-1137-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1050471626

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/25721172


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