Parastomal hernia repair: modified thorlakson technique, reinforced by polypropylene mesh.
The use of mesh repairs in parastomal hernias has recently been the subject of controversy. We describe a modified Thorlakson technique that incorporates an incomplete circumferential mesh to reinforce the fascial repair. In this preliminary report five cases have been operated on without any serious complications. A comprehensive literature review found that a total of 72 cases have been reported by various authors. Failure rates caused by recurrence or mesh-related sepsis amounted to 8.3 percent. In comparison with results for stoma relocations and nonprosthetic in-situ fascial repairs, mesh repairs have the lowest recurrence rates.
Tekkis
P P
PP
Department of Surgery, Queen Mary's Hospital, Sidcup, Kent, United Kingdom.
Kocher
H M
HM
Payne
J G
JG
D000368:Aged; D001672:Biocompatible Materials; D000071938:Fasciotomy; D005260:Female; D005500:Follow-Up Studies; D006555:Hernia, Ventral / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007081:Ileostomy; D008297:Male; D011126:Polypropylenes; D011183:Postoperative Complications / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000295:instrumentation*; D012008:Recurrence; D013526:Surgical Mesh; D016896:Treatment Outcome
D001672:Biocompatible Materials; D011126:Polypropylenes