Ring-reinforced prosthesis for paracolostomy hernia.
BACKGROUND
The reported recurrence rate after paracolostomy hernia repair, with or without mesh, varies between 47 and 100%. We developed a polypropylene mesh prosthesis with a central opening, reinforced with a polypropylene ring, that can be implanted suprafascially through a mucocutaneous incision.


METHODS
The results of a consecutive series of 46 patients with paracolostomy hernia, who were implanted with this prosthesis between October 1988 and November 2000 in 12 hospitals, were analyzed. The mean follow-up was 5 (range 1-13) years.


RESULTS
The early infection rate was 4.3%. Two patients were lost to follow-up. The late infection rate was 2.3%. Seven patients (15.9%) developed a recurrent parastomal hernia and were all reoperated. The prosthesis was definitively removed in 10 patients.


CONCLUSIONS
Although implantation of this new prosthesis is not without complications, it offers the lowest reported recurrence rate until now.
de Ruiter
P
P
Department of Surgery, Medical Center Alkmaar, Alkmaar, The Netherlands.
Bijnen
A B
AB
D000368:Aged; D001672:Biocompatible Materials / Q000627:therapeutic use; D003125:Colostomy; D005260:Female; D005500:Follow-Up Studies; D006547:Hernia / Q000209:etiology; D059685:Herniorrhaphy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011126:Polypropylenes / Q000627:therapeutic use; D011183:Postoperative Complications; D019736:Prostheses and Implants; D019919:Prosthesis Implantation / Q000295:instrumentation*; D013526:Surgical Mesh; D016896:Treatment Outcome
D001672:Biocompatible Materials; D011126:Polypropylenes