What is new in parastomal hernia repair: An overview
Parastomal hernias (PSH) are a frequent problem mostly developing 2–3 years after index surgery impairing the life quality of affected patients. Therefore, effective prevention and treatment seems of utmost importance. However, many different surgical techniques for the treatment of PSH have been de...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | International Journal of Abdominal Wall and Hernia Surgery |
| Subjects: | |
| Online Access: | http://www.herniasurgeryjournal.org/article.asp?issn=2589-8736;year=2023;volume=6;issue=1;spage=1;epage=5;aulast=Hoffmann |
| _version_ | 1797824195493625856 |
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| author | Henry Hoffmann Debora Nowakowski Philipp Kirchhoff |
| author_facet | Henry Hoffmann Debora Nowakowski Philipp Kirchhoff |
| author_sort | Henry Hoffmann |
| collection | DOAJ |
| description | Parastomal hernias (PSH) are a frequent problem mostly developing 2–3 years after index surgery impairing the life quality of affected patients. Therefore, effective prevention and treatment seems of utmost importance. However, many different surgical techniques for the treatment of PSH have been described with partially contradicting results and a low level of evidence. Therefore, this article focuses on a systematic overview of prevention and treatment for PSH. Regarding the prevention of PSH mesh-based techniques are suggested to reduce the rate of subsequent PSH, although the “keyhole” mesh, which is often used, has been shown to be ineffective for many reasons. For the treatment of PSH, the use of “funnel-shaped” meshes or Sugarbaker repair provides the most promising results. The keyhole mesh repair of PSH should be abandoned. |
| first_indexed | 2024-03-13T10:35:21Z |
| format | Article |
| id | doaj.art-b5265e64c0f14c57a760e525f0f8ee72 |
| institution | Directory Open Access Journal |
| issn | 2589-8736 2589-8078 |
| language | English |
| last_indexed | 2024-03-13T10:35:21Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | International Journal of Abdominal Wall and Hernia Surgery |
| spelling | doaj.art-b5265e64c0f14c57a760e525f0f8ee722023-05-18T06:17:11ZengWolters Kluwer Medknow PublicationsInternational Journal of Abdominal Wall and Hernia Surgery2589-87362589-80782023-01-01611510.4103/ijawhs.ijawhs_65_22What is new in parastomal hernia repair: An overviewHenry HoffmannDebora NowakowskiPhilipp KirchhoffParastomal hernias (PSH) are a frequent problem mostly developing 2–3 years after index surgery impairing the life quality of affected patients. Therefore, effective prevention and treatment seems of utmost importance. However, many different surgical techniques for the treatment of PSH have been described with partially contradicting results and a low level of evidence. Therefore, this article focuses on a systematic overview of prevention and treatment for PSH. Regarding the prevention of PSH mesh-based techniques are suggested to reduce the rate of subsequent PSH, although the “keyhole” mesh, which is often used, has been shown to be ineffective for many reasons. For the treatment of PSH, the use of “funnel-shaped” meshes or Sugarbaker repair provides the most promising results. The keyhole mesh repair of PSH should be abandoned.http://www.herniasurgeryjournal.org/article.asp?issn=2589-8736;year=2023;volume=6;issue=1;spage=1;epage=5;aulast=Hoffmannfunnel meshkeyholeparastomal herniasugarbaker |
| spellingShingle | Henry Hoffmann Debora Nowakowski Philipp Kirchhoff What is new in parastomal hernia repair: An overview International Journal of Abdominal Wall and Hernia Surgery funnel mesh keyhole parastomal hernia sugarbaker |
| title | What is new in parastomal hernia repair: An overview |
| title_full | What is new in parastomal hernia repair: An overview |
| title_fullStr | What is new in parastomal hernia repair: An overview |
| title_full_unstemmed | What is new in parastomal hernia repair: An overview |
| title_short | What is new in parastomal hernia repair: An overview |
| title_sort | what is new in parastomal hernia repair an overview |
| topic | funnel mesh keyhole parastomal hernia sugarbaker |
| url | http://www.herniasurgeryjournal.org/article.asp?issn=2589-8736;year=2023;volume=6;issue=1;spage=1;epage=5;aulast=Hoffmann |
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