Parastomal hernia repair
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Parastomal hernia repair
Abdominal Wall Reconstruction and Parastomal Hernia Repair- Key Concepts
- References
- Introduction
- Incidence, Risk Factors, and Diagnosis
- Classification
- Operative Indications
- Preoperative Optimization and Planning
- Repair Techniques and Associated Outcomes
- Primary Repair
- Onlay Mesh Repair
- Open Intraperitoneal Mesh Repair
- Laparoscopic Intraperitoneal Mesh Repair
- Open Retromuscular Repair and Abdominal Wall Reconstruction
- Algorithm
- Mesh Options
- Conclusion
Perioperative
Benign Disease- A 65-year-old man with a history of rectal cancer underwent abdominoperineal resection 10 years ago. He presents with a large, symptomatic parastomal hernia. Which technique has the lowest recurrence rate?
- A 65-year-old woman with coronary artery disease and a history of abdominoperineal resection for a low rectal cancer 3 years ago presents with a painless peristomal bulge and an occasional appliance leak. She denies pain and reports normal colostomy output. Examination reveals a pink healthy colostomy and soft bulge medial to the stoma on application of the Valsalva maneuver. Result of recent surveillance computed tomography is available for review (Figure). What is the best management option?
- You operate on a 23-year-old man who sustained multiple stab wounds to the abdomen. His injuries include a grade II splenic hematoma and a sigmoid colon laceration involving 40% of the colonic wall. The perisigmoid mesentery is intact. He has received 3 units of blood in the operating room. What is your recommendation for repair of his colonic injury?
Parastomal and Perineal Hernias- Benign Disease
- Five years after abdominoperineal resection (APR) for rectal cancer, a 57-year-old woman presents with bulging at the site of a left lower quadrant colostomy. She is concerned regarding her physical appearance and symptoms of rare fecal leakage at the appliance. The best initial treatment for this patient is
- A 65-year-old man who underwent a recent colostomy for fecal incontinence presents to your office with a symptomatic parastomal hernia, despite multiple appliance changes. What is the best step for definitive treatment?
Ostomy Surgery (2022)- Intestinal Stomas
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