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The Role of Mesh Implants in Surgical Treatment of Parastomal Hernia

A parastomal hernia is a common complication following stoma surgery. Due to the large number of hernial relapses and other complications, such as infections, adhesion to the intestines, or the formation of adhesions, the treatment of hernias is still a surgical challenge. The current standard for t...

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Autores principales: Turlakiewicz, Karolina, Puchalski, Michał, Krucińska, Izabella, Sujka, Witold
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7956701/
https://www.ncbi.nlm.nih.gov/pubmed/33668318
http://dx.doi.org/10.3390/ma14051062
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author Turlakiewicz, Karolina
Puchalski, Michał
Krucińska, Izabella
Sujka, Witold
author_facet Turlakiewicz, Karolina
Puchalski, Michał
Krucińska, Izabella
Sujka, Witold
author_sort Turlakiewicz, Karolina
collection PubMed
description A parastomal hernia is a common complication following stoma surgery. Due to the large number of hernial relapses and other complications, such as infections, adhesion to the intestines, or the formation of adhesions, the treatment of hernias is still a surgical challenge. The current standard for the preventive and causal treatment of parastomal hernias is to perform a procedure with the use of a mesh implant. Researchers are currently focusing on the analysis of many relevant options, including the type of mesh (synthetic, composite, or biological), the available surgical techniques (Sugarbaker’s, “keyhole”, or “sandwich”), the surgical approach used (open or laparoscopic), and the implant position (onlay, sublay, or intraperitoneal onlay mesh). Current surface modification methods and combinations of different materials are actively explored areas for the creation of biocompatible mesh implants with different properties on the visceral and parietal peritoneal side. It has been shown that placing the implant in the sublay and intraperitoneal onlay mesh positions and the use of a specially developed implant with a 3D structure are associated with a lower frequency of recurrences. It has been shown that the prophylactic use of a mesh during stoma formation significantly reduces the incidence of parastomal hernias and is becoming a standard method in medical practice.
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spelling pubmed-79567012021-03-16 The Role of Mesh Implants in Surgical Treatment of Parastomal Hernia Turlakiewicz, Karolina Puchalski, Michał Krucińska, Izabella Sujka, Witold Materials (Basel) Review A parastomal hernia is a common complication following stoma surgery. Due to the large number of hernial relapses and other complications, such as infections, adhesion to the intestines, or the formation of adhesions, the treatment of hernias is still a surgical challenge. The current standard for the preventive and causal treatment of parastomal hernias is to perform a procedure with the use of a mesh implant. Researchers are currently focusing on the analysis of many relevant options, including the type of mesh (synthetic, composite, or biological), the available surgical techniques (Sugarbaker’s, “keyhole”, or “sandwich”), the surgical approach used (open or laparoscopic), and the implant position (onlay, sublay, or intraperitoneal onlay mesh). Current surface modification methods and combinations of different materials are actively explored areas for the creation of biocompatible mesh implants with different properties on the visceral and parietal peritoneal side. It has been shown that placing the implant in the sublay and intraperitoneal onlay mesh positions and the use of a specially developed implant with a 3D structure are associated with a lower frequency of recurrences. It has been shown that the prophylactic use of a mesh during stoma formation significantly reduces the incidence of parastomal hernias and is becoming a standard method in medical practice. MDPI 2021-02-24 /pmc/articles/PMC7956701/ /pubmed/33668318 http://dx.doi.org/10.3390/ma14051062 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Turlakiewicz, Karolina
Puchalski, Michał
Krucińska, Izabella
Sujka, Witold
The Role of Mesh Implants in Surgical Treatment of Parastomal Hernia
title The Role of Mesh Implants in Surgical Treatment of Parastomal Hernia
title_full The Role of Mesh Implants in Surgical Treatment of Parastomal Hernia
title_fullStr The Role of Mesh Implants in Surgical Treatment of Parastomal Hernia
title_full_unstemmed The Role of Mesh Implants in Surgical Treatment of Parastomal Hernia
title_short The Role of Mesh Implants in Surgical Treatment of Parastomal Hernia
title_sort role of mesh implants in surgical treatment of parastomal hernia
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7956701/
https://www.ncbi.nlm.nih.gov/pubmed/33668318
http://dx.doi.org/10.3390/ma14051062
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