Long-term follow-up of laparoscopic repair of parastomal hernia using a bilayer mesh with a slit

Abstract

Laparoscopic repair of parastomal hernia using bilayer mesh with a slit is associated with a risk of substantial postoperative morbidity, including late mesh-related complications, but a recurrence rate of less than 10%.

Laparoscopic slit mesh repair of parastomal hernia using a designated mesh: long-term results

“…We report a conversion rate of 6.9% and a mortality rate of 3.4%, both of which lie in the reported range of the literature. Our overall complication rate is 17.2%, which compares favorably with the reported range in the literature of 8.4-33.3% [11][12][13][14]. We consider these perioperative data to be supportive evidence of the technical feasibility of laparoscopic parastomal hernia repair, but we believe that a modification to the operation in the form of ''sandwichtechnique'' might produce better results and we intend to explore that possibility in the future.…”

“…All failures occurred after a 6-month follow-up period. The only study, to the best of our knowledge, that published a tolerable result of 3% recurrence rate is the paper by Wara and Andersen [14]. They used a two-layer mesh similar to ours, but cut out the shape of the key hole and the slit after estimating the size of the fascial defect.…”

Registry of implants for the reconstruction of pelvic floor in males and females: A feasibility case series

“…Mesh-related complications like erosion, exposure, infection, pelvic pain and mesh shrinkage should be considered and risk factors should be identified [3]. However, there is a number of late meshrelated complications, so that a long-term follow up is important for a proper evaluation of the procedure [16].…”

Repair of complex parastomal hernias

“…Recurrence rate range from 4 to 12 %, infection rates were low (4-4.5 %), and morbidity rates were low [53,55]. A review of the literature reveals that laparoscopic modified Sugarbaker and keyhole techniques have recurrence rates of 9.2 versus 19.7 % (range 0-19 and 2.8-46 %, respectively) and mean wound infection was similar with both techniques (3.5 vs. 3.6 %) (Table 2) [47,[51][52][53][54][55][56][57][58]. Mesh was removed in four modified Sugarbaker and 11 laparoscopic keyhole procedures.…”