Simplified laparoscopic parastomal hernia repair: the scroll technique

Abstract 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...

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Bibliographic Details
Published in:The American journal of surgery 2008-09, Vol.196 (3), p.e16-e18
Main Authors: Saber, Alan A., M.D, Rao, Arun J., M.D, Rao, Camela A., M.D, Elgamal, Mohamed H., M.D
Format: Article
Language:English
Subjects:
Abdomen
Colostomy - adverse effects
Defects
Hernia
Hernia, Ventral - surgery
Hernias
Humans
Laparoscopic
Laparoscopy
Ostomy
Paracolostomy
Parastomal
Patients
Relocation
Scroll
Surgery
Surgical Mesh
Suture Techniques
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Summary:Abstract 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.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2007.06.034