Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
JSLS. 2008 Oct-Dec;12(4):403-6.

Revisional laparoscopic parastomal hernia repair.

Author information

  • 1Department of Biosurgery and Surgical Technology, Imperial College London, St Mary's Hospital, London United Kingdom. manoszacharakis@hotmail.com

Abstract

BACKGROUND:

We herein report a laparoscopically performed re-do operation on a patient who had previously undergone a laparoscopic parastomal hernia repair.

CASE REPORT:

We describe the case of a 71-year-old patient who presented within 3 months of her primary laparoscopic parastomal hernia repair with recurrence. On relaparoscopy, dense adhesions to the mesh were found, and the mesh had migrated into the hernia sac. This had allowed loops of small bowel to herniate into the sac. The initial part of the procedure involved the lysis of adhesions. A piece of Gore-Tex DualMesh with a central keyhole and a radial slit was cut so that it could provide at least 3 cm to 5 cm of overlap of the fascial defect. The tails of the mesh were wrapped around the bowel, and the mesh was secured to the margins of the hernia with circumferential metal tacking and 4 transfascial sutures. The patient remains in satisfactory condition and no recurrence or any surgery-related problem has been observed during 8 months of follow-up.

CONCLUSION:

Revisional laparoscopic repair of parastomal hernias seems feasible and has been shown to be safe and effective in this case. The success of this approach depends on longer follow-up reports and standardization of the technical elements.

PMID:
19275858
[PubMed - indexed for MEDLINE]
PMCID:
PMC3015990
Free PMC Article

Images from this publication.See all images (3)Free text

Figure 1.
Figure 2.
Figure 3.
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Icon for Ingenta plc Icon for PubMed Central
    Loading ...
    Write to the Help Desk