Summary
Herniation is a common long-term complication after a permanent stoma and the classical non-prosthetic repairs have a high recurrence rate. This type of hernia should be considered as incisional, so a prosthetic-based repair seems to be the best choice; nevertheless, the need for another laparotomy and the ideal plane to place the mesh remain debatable. We describe our initial experience with a novel technique for parastomal hernia repair that combines mesh 1 reinforcement with a local approach, thus avoiding a laparotomy. The anatomic disposition of the rectus sheath allows us to place a wide mesh in an intraparietal/anteromuscular plane, avoiding direct contact with the intestine and providing a reinforced wall. After 13 months of follow-up (3–20 months) our 3 patients have excellent results.
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Martinez-Munive, A., Medina-Ramirez Llaca, O., Quijano-Orvananos, F. et al. Intraparietal mesh repair for parastomal hernias. Hernia 4, 272–274 (2000). https://doi.org/10.1007/BF01201082
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DOI: https://doi.org/10.1007/BF01201082