[Peristomal laparocele: particular indications for the use of prosthetic materials].
The authors report the case of a female patient suffering from colic neoplasm and a vast peristomal laparocele, the long-term outcome of a rectal amputation that the patient underwent at a young age. After colic resection, a vast area of surgical mesh in dacron was modelled and positioned in a retromuscular scat, thus allowing the hernia pathology to be resolved relatively simply, owing to its particular location-in correspondence with a preternatural anus-until not long ago this would have represented an absolute contraindication to the use of prosthetic materials. A precise surgical approach, marked by a scrupulous respect for aseptic conditions, is essential in these circumstances owing to the persistent risk of septic complications.
Dipartimento di Area Critica Medico Chirurgica, Cattedra di Patologia Chirurgica 1, Università degli Studi, Florence, Italy.
M
M
Calistri
A
A
Corsi
L
L
Landi
D
D
Rizzo
S
S
Senesi
M
M
Bini
C
C
Masi
D000368:Aged; D003125:Colostomy / Q000009:adverse effects*; D005260:Female; D006555:Hernia, Ventral / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D013526:Surgical Mesh