Surgical Treatment of Parostomal Hernias by Means of a 3D Mesh

Bustos-Jiménez, Manuel; Martín-Cartes, Juan Antonio

doi:10.1177/1553350620936015

Cited by 1 publication

(1 citation statement)

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“…The recurrence rate of 4.8% (only one patient) at a mean follow-up of 21.6 (range 4.8 to 37.5) months is consistent with the results of other studies conducted with IPST mesh. For example, Cartes and Bustos-Jiménez et al reported a recurrence rate of 9.3% after a mean follow-up of 33 months [19,20]. The cohort consisted of 75 patients, 48 of whom were treated for PSH after an end colostomy, 6 after an end ileostomy and 12 after an urostomy.…”

Section: Discussionmentioning

confidence: 99%

Repair of parastomal hernias with the intraperitoneal funnel meshes IPST‑R and IPST: Results of 21 consecutive cases

Stoeckel,

Ilgeldiev,

Mirow

et al. 2024

Preprint

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Background The treatment of parastomal hernias (PSH) represents a major challenge in hernia surgery. Various techniques have been reported with different outcomes in terms of complication and recurrence rates. The aim of this study is to share our initial experience with the implantation of the DynaMesh®IPST-R and -IPST, intraperitoneal funnel meshes made of polyvinylidene fluoride (PVDF).Methods This is a retrospective observational cohort study of patients treated for PSH between March 2019 and April 2023 using the chimney technique with the intraperitoneal funnel meshes IPSTR or IPST. The primary outcome was recurrence and the secondary outcomes were intraoperative and postoperative complications, the latter assessed using the Clavien-Dindo classification.Results A total of 21 consecutive patients were treated with intraperitoneal PVDF funnel meshes, 17 with IPST-R and 4 with IPST. There were no intraoperative complications. Overall, no complications occurred in 61.9% (n = 12) of the patients. Major postoperative complications (defined as Clavien-Dindo ≥ 3b) were noted in four cases (19.0%). During the mean follow-up period of 21.6 (range 4.8 to 37.5) months, one patient (4.8%) had a recurrence.Conclusions For the treatment of parastomal hernias, the implantation of IPST-R or IPST mesh has proven to be efficient, easy to handle, and very safe. In particular, the low recurrence rate of 4.8%, which is in line with the current literature, is convincing. However, a larger number of patients would improve the validity of the results.

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Section: Discussionmentioning

confidence: 99%