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Tech Coloproctol. 2015 Mar;19(3):127-33. doi: 10.1007/s10151-015-1293-6. Epub 2015 Mar 3.

Repair of complex parastomal hernias.

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Department of Surgery, Irvine School of Medicine, University of California, Irvine, CA, USA.


Development of parastomal hernias (PH) is very common after stoma formation and carries a risk of subsequent bowel incarceration, obstruction and strangulation. The management of PH remains a challenge for the colorectal surgeon, and there are currently no standardized guidelines for the treatment of PH. Even more difficult is the management of complex parastomal hernias (CPH). We conducted a review of the literature to identify recent developments in the treatment of CPH, including analysis of the use of synthetic and biologic mesh prostheses, method of mesh placement and surgical approach.

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