Parastomal hernia repair: modified thorlakson technique, reinforced by polypropylene mesh.
case_series · Level IV
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- Record sourced from PubMed, PMID 10566544.
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Abstract
The use of mesh repairs in parastomal hernias has recently been the subject of controversy. We describe a modified Thorlakson technique that incorporates an incomplete circumferential mesh to reinforce the fascial repair. In this preliminary report five cases have been operated on without any serious complications. A comprehensive literature review found that a total of 72 cases have been reported by various authors. Failure rates caused by recurrence or mesh-related sepsis amounted to 8.3 percent. In comparison with results for stoma relocations and nonprosthetic in-situ fascial repairs, mesh repairs have the lowest recurrence rates.
Medical subject headings
- Hernia, Ventral
- Ileostomy
- Polypropylenes
- Postoperative Complications
- Plastic Surgery Procedures
- Surgical Mesh