Prosthetic mesh in parastomal hernia prevention. Laparoscopic approach.

López-Cano, Manuel; Lozoya-Trujillo, Roberto; Espin-Basany, Eloy · Dis Colon Rectum · 2009

Level V

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Abstract

The use of a sublay mesh in open surgery has been probed to be an efficient strategy for the prevention of parastomal hernia. Based on these previous reports, placing a composite mesh (polypropylene/cellulose) in an intraperitoneal fashion seems to be a good technique when a laparoscopic approach is performed. This technique is easy to perform. Mesh is kept in place with the help of tackers, normal intra-abdominal pressure, and the colon itself. We report the description of a laparoscopic technique for placing an intraperitoneal mesh for the prevention of a parastomal hernia.

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