title: A promising new device for the prevention of parastomal hernia.
abstract: Parastomal hernia (PSH) is the most frequent long-term stoma complication with serious negative effects on quality of life. Surgical revision is often required and has a substantial morbidity and recurrence rate. The development of PSH requires revisional surgery with a substantial perioperative morbidity and high failure rate in the long-term follow-up. Prophylactic parastomal mesh insertion during stoma creation has the potential to reduce the rate of PSH, but carries the risk of early and late mesh-related complications such as infection, fibrosis, mesh shrinkage, and/or bowel erosion. We developed a new stomaplasty ring (KORING), which is easy to implant, avoids potential mesh-related complications, and has a high potential of long-term prevention of PSH. Here we describe the technique and the first use.
authors.affiliation: University Hospital Basel, Switzerland henry.hoffmann@usb.ch.
authors.forename: Henry
authors.initials: H
authors.lastname: Hoffmann
authors.affiliation: University Hospital Basel, Switzerland.
authors.forename: Daniel
authors.initials: D
authors.lastname: Oertli
authors.affiliation: University Hospital Basel, Switzerland.
authors.forename: Savas
authors.initials: S
authors.lastname: Soysal
authors.affiliation: Limmattal Hospital, Schlieren, Switzerland.
authors.forename: Urs
authors.initials: U
authors.lastname: Zingg
authors.affiliation: University Hospital Lausanne, Switzerland.
authors.forename: Dieter
authors.initials: D
authors.lastname: Hahnloser
authors.affiliation: University Hospital Basel, Switzerland.
authors.forename: Philipp
authors.initials: P
authors.lastname: Kirchhoff
mesh_terms: D000368:Aged; D013505:Digestive System Surgical Procedures / Q000295:instrumentation*; D004867:Equipment Design; D046449:Hernia, Abdominal / Q000517:prevention & control*; D006801:Humans; D008297:Male; D054047:Surgical Stomas / Q000009:adverse effects*
keywords: biomedical engineering; colorectal surgery; hernias; surgical oncology