First experience for the laparoscopic treatment of parastomal hernia with the use of Parietex composite mesh.
Parastomal herniation is a postoperative complication after colostomy or ileostomy with an incidence rate of 0-48.1%. Its repair is indicated in approximately 10-15% of cases; however, this surgery has been associated with a significant degree of morbidity and recurrence. We describe, for the first time in literature, an experience using a new technique, and a new type of mesh. This new type of laparoscopic parastomal hernia repair appears to be easier and faster. The follow-up was about 240 days. Our preliminary experience in using this technique and mesh appears to be possibly leading to a reduction of recurrences and complications. Randomized multicenter studies are required to assess the true effectiveness of the technique.
Department of Surgery, Università Campus Bio-Medico, 00128, Rome, Italy, v.ripetti@unicampus.it.
Valter
V
Ripetti
Gabriella
G
Capolupo
Pierfilippo
P
Crucitti
Sergio
S
Valeri
Roberto
R
Coppola
D003125:Colostomy; D006555:Hernia, Ventral / Q000601:surgery; D059685:Herniorrhaphy; D006801:Humans; D010535:Laparoscopy; D013526:Surgical Mesh