HYBRID REPAIR OF PARASTOMAL HERNIA WITH DynaMesh-IPST_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

SUNPengjun ,  LIJiye , FEIYang , WANGShibin

Department of General Surgery, the First Affiliated Hospital of General Hospital of Chinese PLA, Beijing, 100036, P.R.China;

Corresponding author：

LIJiye, Email: jiye151015@163.com

Keywords：

Parastomal hernia; Herniorrhaphy; DynaMesh-IPST mesh; Laparoscope

DOI：

10.7507/1002-1892.20160292

Video：

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Objective To investigate the technique and early results of hybrid repair of parastomal hernia with the DynaMesh-IPST. Methods A retrospective analysis was made on the clinical data of 28 patients who underwent DynaMesh-IPST hybrid repair of parastomal hernia between October 2013 and June 2016. There were 18 males and 10 females, aged 49-84 years (mean, 71 years). The disease duration of parastomal hernia was 6-60 months (mean, 27.6 months). The body mass index (BMI) was 17-35 (mean, 25.6); there were 15 obese patients (BMI > 26). Results The operation was completed smoothly in all patients. The mean stoma diameter was 6 cm (range, 4-9 cm). The mean operation time was 142 minutes (range, 110-190 minutes). The mean hospital stay was 9 days (range, 7-12 days). Seroma was found in 2 patients, and was cured by needle aspiration and pressure bandage. All 28 cases were followed up 1-33 months (mean, 19 months). No recurrence, infection, intestinal fistula, and stoma-related problems were found. The appearance of abdominal wall was symmetrical. Conclusion DynaMesh-IPST hybrid repair is a safe and feasible method for parastomal hernia, and the short-term operative result is satisfactory.

Citation： SUNPengjun, LIJiye, FEIYang, WANGShibin. HYBRID REPAIR OF PARASTOMAL HERNIA WITH DynaMesh-IPST. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(11): 1417-1420. doi: 10.7507/1002-1892.20160292 Copy

1.	Śmietański M, Bury K, Matyja A, et al. Polish guidelines for treatment of patients with parastomal hernia. Pol Przegl Chir, 2013, 85(3): 152-180.
2.	Carne PW, Robertson GM, Frizelle FA. Parastomal hernia. Br J Surg, 2003, 90(7): 784-793.
3.	Hiranyakas A, Ho YH. Laparoscopic parastomal hernia repair. Dis Colon Rectum, 2010, 53(9): 1334-1336.
4.	DeMaria EJ, Moss JM, Sugerman HJ. Laparoscopic intraperitoneal polytetrafluoroethylene (PTFE) prosthetic patch repair of ventral hernia. Prospective comparison to open prefascial polypropylene mesh repair. Surg Endosc, 2000, 14(4): 326-329.
5.	Germaine NS, McCormick J. Parastomal hernias: laparoscopic management. Seminars in Colon & Rectal Surgery, 2012, 23(1): 31-36.
6.	LeBlanc KA. Current considerations in laparoscopic incisional and ventral herniorrhaphy. JSLS, 2000, 4(2): 131-139.
7.	Białecki JT, Wieloch MM, Kołomecki K. Single incision approach to totally extraperitoneal inguinal hernia repair. Wideochir Inne Tech Maloinwazyjne, 2014, 9(2): 201-206.
8.	Muysoms F. Laparoscopic repair of parastomal hernias with a modified Sugarbaker technique. Acta Chir Belg, 2007, 107(4): 476-480.
9.	Guzmán-Valdivia G, Guerrero TS, Laurrabaquio HV. Parastomal hernia-repair using mesh and an open technique. World J Surg, 2008, 32(3): 465-470.
10.	Stoikes N, Sharpe J, Tasneem H, et al. Biomechanical evaluation of fixation properties of fibrin glue for ventral incisional hernia repair. Hernia, 2015, 19(1): 161-166.
11.	Hansson BM, Bleichrodt RP, de Hingh IH. Laparoscopic parastomal hernia repair using a keyhole technique results in a high recurrence rate. Surg Endosc, 2009, 23(7): 1456-1459.
12.	Berger D. Prevention of parastomal hernias by prophylactic use of a specially designed intraperitoneal onlay mesh (Dynamesh IPST). Hernia, 2008, 12(3): 243-246.
13.	姚琪远, 何凯.造口旁疝的腹腔镜手术.中华胃肠外科杂志, 2012, 15(8): 799-800.
14.	李绍杰, 胡星辰, 黄磊, 等.单中心造口旁疝10年诊治经验(附220例报告).外科理论与实践, 2016, 21(2): 121-125.
15.	何凯, 姚琪远, 陈浩, 等.腹腔镜造口重做造口旁疝补片修补术的手术效果及安全性评估.外科理论与实践, 2010, 15(6): 616-619.
16.	Grubnik VV, Grubnik AV, Vorotyntseva KO. Laparoscopic repair of incisional and ventral hernias with the new type of meshes: randomized control trial. Wideochir Inne Tech Maloinwazyjne, 2014, 9(2): 145-151.
17.	Szczepkowski M, Gil G. Patient reoperations for late complications of surgical treatment of parastomal hernias-own experience. Pol Przegl Chir, 2012, 84(10): 495-501.
18.	Klinge U, Klosterhalfen B, Ottinger AP, et al. PVDF as a new polymer for the construction of surgical meshes. Biomaterials, 2002, 23(16): 3487-3493.

1. Śmietański M, Bury K, Matyja A, et al. Polish guidelines for treatment of patients with parastomal hernia. Pol Przegl Chir, 2013, 85(3): 152-180.
2. Carne PW, Robertson GM, Frizelle FA. Parastomal hernia. Br J Surg, 2003, 90(7): 784-793.
3. Hiranyakas A, Ho YH. Laparoscopic parastomal hernia repair. Dis Colon Rectum, 2010, 53(9): 1334-1336.
4. DeMaria EJ, Moss JM, Sugerman HJ. Laparoscopic intraperitoneal polytetrafluoroethylene (PTFE) prosthetic patch repair of ventral hernia. Prospective comparison to open prefascial polypropylene mesh repair. Surg Endosc, 2000, 14(4): 326-329.
5. Germaine NS, McCormick J. Parastomal hernias: laparoscopic management. Seminars in Colon & Rectal Surgery, 2012, 23(1): 31-36.
6. LeBlanc KA. Current considerations in laparoscopic incisional and ventral herniorrhaphy. JSLS, 2000, 4(2): 131-139.
7. Białecki JT, Wieloch MM, Kołomecki K. Single incision approach to totally extraperitoneal inguinal hernia repair. Wideochir Inne Tech Maloinwazyjne, 2014, 9(2): 201-206.
8. Muysoms F. Laparoscopic repair of parastomal hernias with a modified Sugarbaker technique. Acta Chir Belg, 2007, 107(4): 476-480.
9. Guzmán-Valdivia G, Guerrero TS, Laurrabaquio HV. Parastomal hernia-repair using mesh and an open technique. World J Surg, 2008, 32(3): 465-470.
10. Stoikes N, Sharpe J, Tasneem H, et al. Biomechanical evaluation of fixation properties of fibrin glue for ventral incisional hernia repair. Hernia, 2015, 19(1): 161-166.
11. Hansson BM, Bleichrodt RP, de Hingh IH. Laparoscopic parastomal hernia repair using a keyhole technique results in a high recurrence rate. Surg Endosc, 2009, 23(7): 1456-1459.
12. Berger D. Prevention of parastomal hernias by prophylactic use of a specially designed intraperitoneal onlay mesh (Dynamesh IPST). Hernia, 2008, 12(3): 243-246.
13. 姚琪远, 何凯.造口旁疝的腹腔镜手术.中华胃肠外科杂志, 2012, 15(8): 799-800.
14. 李绍杰, 胡星辰, 黄磊, 等.单中心造口旁疝10年诊治经验(附220例报告).外科理论与实践, 2016, 21(2): 121-125.
15. 何凯, 姚琪远, 陈浩, 等.腹腔镜造口重做造口旁疝补片修补术的手术效果及安全性评估.外科理论与实践, 2010, 15(6): 616-619.
16. Grubnik VV, Grubnik AV, Vorotyntseva KO. Laparoscopic repair of incisional and ventral hernias with the new type of meshes: randomized control trial. Wideochir Inne Tech Maloinwazyjne, 2014, 9(2): 145-151.
17. Szczepkowski M, Gil G. Patient reoperations for late complications of surgical treatment of parastomal hernias-own experience. Pol Przegl Chir, 2012, 84(10): 495-501.
18. Klinge U, Klosterhalfen B, Ottinger AP, et al. PVDF as a new polymer for the construction of surgical meshes. Biomaterials, 2002, 23(16): 3487-3493.

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HYBRID REPAIR OF PARASTOMAL HERNIA WITH DynaMesh-IPST

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