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Revisional Laparoscopic Parastomal Hernia Repair

BACKGROUND: We herein report a laparoscopically performed re-do operation on a patient who had previously undergone a laparoscopic parastomal hernia repair. CASE REPORT: We describe the case of a 71-year-old patient who presented within 3 months of her primary laparoscopic parastomal hernia repair w...

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Autores principales: Zacharakis, Emmanouil, Shalhoub, Joseph, Selvapatt, Nowlan, Darzi, Ara, Ziprin, Paul
Formato: Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015990/
https://www.ncbi.nlm.nih.gov/pubmed/19275858
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author Zacharakis, Emmanouil
Shalhoub, Joseph
Selvapatt, Nowlan
Darzi, Ara
Ziprin, Paul
author_facet Zacharakis, Emmanouil
Shalhoub, Joseph
Selvapatt, Nowlan
Darzi, Ara
Ziprin, Paul
author_sort Zacharakis, Emmanouil
collection PubMed
description BACKGROUND: We herein report a laparoscopically performed re-do operation on a patient who had previously undergone a laparoscopic parastomal hernia repair. CASE REPORT: We describe the case of a 71-year-old patient who presented within 3 months of her primary laparoscopic parastomal hernia repair with recurrence. On relaparoscopy, dense adhesions to the mesh were found, and the mesh had migrated into the hernia sac. This had allowed loops of small bowel to herniate into the sac. The initial part of the procedure involved the lysis of adhesions. A piece of Gore-Tex DualMesh with a central keyhole and a radial slit was cut so that it could provide at least 3 cm to 5 cm of overlap of the fascial defect. The tails of the mesh were wrapped around the bowel, and the mesh was secured to the margins of the hernia with circumferential metal tacking and 4 transfascial sutures. The patient remains in satisfactory condition and no recurrence or any surgery-related problem has been observed during 8 months of follow-up. CONCLUSION: Revisional laparoscopic repair of parastomal hernias seems feasible and has been shown to be safe and effective in this case. The success of this approach depends on longer follow-up reports and standardization of the technical elements.
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spelling pubmed-30159902011-02-17 Revisional Laparoscopic Parastomal Hernia Repair Zacharakis, Emmanouil Shalhoub, Joseph Selvapatt, Nowlan Darzi, Ara Ziprin, Paul JSLS Case Reports BACKGROUND: We herein report a laparoscopically performed re-do operation on a patient who had previously undergone a laparoscopic parastomal hernia repair. CASE REPORT: We describe the case of a 71-year-old patient who presented within 3 months of her primary laparoscopic parastomal hernia repair with recurrence. On relaparoscopy, dense adhesions to the mesh were found, and the mesh had migrated into the hernia sac. This had allowed loops of small bowel to herniate into the sac. The initial part of the procedure involved the lysis of adhesions. A piece of Gore-Tex DualMesh with a central keyhole and a radial slit was cut so that it could provide at least 3 cm to 5 cm of overlap of the fascial defect. The tails of the mesh were wrapped around the bowel, and the mesh was secured to the margins of the hernia with circumferential metal tacking and 4 transfascial sutures. The patient remains in satisfactory condition and no recurrence or any surgery-related problem has been observed during 8 months of follow-up. CONCLUSION: Revisional laparoscopic repair of parastomal hernias seems feasible and has been shown to be safe and effective in this case. The success of this approach depends on longer follow-up reports and standardization of the technical elements. Society of Laparoendoscopic Surgeons 2008 /pmc/articles/PMC3015990/ /pubmed/19275858 Text en © 2008 by JSLS, Journal of the Society of Laparoendoscopic Surgeons This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
spellingShingle Case Reports
Zacharakis, Emmanouil
Shalhoub, Joseph
Selvapatt, Nowlan
Darzi, Ara
Ziprin, Paul
Revisional Laparoscopic Parastomal Hernia Repair
title Revisional Laparoscopic Parastomal Hernia Repair
title_full Revisional Laparoscopic Parastomal Hernia Repair
title_fullStr Revisional Laparoscopic Parastomal Hernia Repair
title_full_unstemmed Revisional Laparoscopic Parastomal Hernia Repair
title_short Revisional Laparoscopic Parastomal Hernia Repair
title_sort revisional laparoscopic parastomal hernia repair
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015990/
https://www.ncbi.nlm.nih.gov/pubmed/19275858
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