Simplified laparoscopic parastomal hernia repair: the scroll technique - 22/08/11
, Arun J. Rao, M.D., Camela A. Rao, M.D., Mohamed H. Elgamal, M.D.
Corresponding author. Tel.: +1-269-337-6260; fax: +1-269-337-6222Abstract |
Background |
Laparoscopic parastomal hernia repair can be technically challenging. We herein present a simplified technique of laparoscopic parastomal hernia repair.
Methods |
This technique entails fixation of the rolled mesh to the anterior abdominal wall before unfolding it, each side of the mesh is unfolded and fixed individually using transfascial sutures and tacks.
Results |
This technique was used in 3 patients; The average time for mesh placement was about 30 minutes. The mean length of stay was 2 days. Apart from 1 patient who developed a transient postoperative seroma, there were no intraoperative or postoperative complications.
Conclusions |
This technique of mesh placement minimizes intracorporeal mesh manipulation, facilitates fixation of the mesh to the anterior abdominal wall, and provides adequate coverage to the hernia defect while hosting the colostomy without restriction.
Le texte complet de cet article est disponible en PDF.Keywords : Paracolostomy, Parastomal, Hernia, Scroll, Laparoscopic
Plan
Vol 196 - N° 3
P. e16-e18 - septembre 2008 Retour au numéro
Article précédent
- A new anoscope for transanal surgery
- Carlo Rebuffat, Massimiliano Della Porta, Francesca Ciccarese, Riccardo Rosati
- Approach to debridement in necrotizing fasciitis
- Chin-Ho Wong, Andrew K.-T. Yam, Agnes B.-H. Tan, Colin Song
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?