کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
8964941 1646686 2018 20 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Parastomal hernia repair using the “top hat” technique - An initial experience in 30 patients at Memorial Sloan Kettering Cancer Center
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
پیش نمایش صفحه اول مقاله
Parastomal hernia repair using the “top hat” technique - An initial experience in 30 patients at Memorial Sloan Kettering Cancer Center
چکیده انگلیسی
Parastomal hernia repair remains a significant surgical challenge. Recurrence after standard “keyhole” or primary suture repair is common. We adopted and modified a new technique using a construct shaped like an inverted top hat. We review our experience over the last six years in the first 30 patients (31 consecutive procedures). Of these 31 procedures, six (19%) resulted in a parastomal hernia recurrence with a median follow-up of 31 months (range 0.5-80). Four of the recurrences occurred in our initial experience, when we constructed the top hat of xenograft alone. When the technique was modified, using a synthetic composite mesh for the underlay portion of the hat, there were only two subsequent recurrences in 16 patients (13%) with a median follow-up of 22 months. One of these “recurrences” was secondary to infection of the top hat construct, which had to be removed. This initial success in preventing recurrence of parastomal hernia is probably due to the design of the construct, for it occludes the vulnerable stoma/fascial angle, through which most parastomal hernia recurrences occur.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 216, Issue 3, September 2018, Pages 465-470
نویسندگان
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