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Parastomal hernia

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https://www.readbyqxmd.com/read/28078466/does-stoma-site-specimen-extraction-increase-postoperative-ileostomy-complication-rates
#1
Wanglin Li, Cigdem Benlice, Luca Stocchi, Hermann Kessler, Emre Gorgun, Meagan Costedio
BACKGROUND: Minimizing incisions has the potential to decrease hernia formation and wound complications following laparoscopic surgery. It is currently unknown if using the stoma site for specimen extraction affects outcomes. This study aims to evaluate the impact of stoma site extraction on postoperative complication rates in laparoscopic colorectal surgery. METHODS: After IRB approval, a retrospective comparative review of 738 consecutive patients (405 M) who underwent laparoscopic colorectal surgery with ileostomy between January 2008 and December 2014 was performed...
January 11, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28035482/laparoscopic-prosthetic-parastomal-and-perineal-hernia-repair-after-abdominoperineal-resection
#2
G Dapri, L Gerard, L Cardinali, D Repullo, I Surdeanu, S H Sondji, G-B Cadière, S Saussez
No abstract text is available yet for this article.
December 29, 2016: Techniques in Coloproctology
https://www.readbyqxmd.com/read/28025739/parastomal-hernia-following-cystectomy-and-ileal-conduit-urinary-diversion-a-systematic-review
#3
REVIEW
Sunil K Narang, Nasra N Alam, Nick J Campain, Samir Pathak, John S McGrath, Ian R Daniels, Neil J Smart
PURPOSE: The natural history of development of Parastomal hernia (PH) following cystectomy and ileal conduit diversion is poorly understood. The aim of this study was to systematically review the frequency and risk factors of PH following ileal conduit diversion. METHODS: A systematic review of literature was performed and the Cochrane, EMBASE and PubMed databases were searched from 1(st) January 1985 to 30th April 2016. All articles reporting occurrence of PH following cystectomy and ileal conduit diversion were analysed...
December 26, 2016: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/28004850/meta-analysis-of-prophylactic-mesh-to-prevent-parastomal-hernia
#4
REVIEW
A J Cross, P L Buchwald, F A Frizelle, T W Eglinton
BACKGROUND: Rates of parastomal hernia following stoma formation remain high. Previous systematic reviews suggested that prophylactic mesh reduces the rate of parastomal hernia; however, a larger trial has recently called this into question. The aim was to determine whether mesh placed at the time of primary stoma creation prevents parastomal hernia. METHODS: The Cochrane Central Register of Controlled Trials, MEDLINE, Embase and CINAHL were searched using medical subject headings for parastomal hernia, mesh and prevention...
December 22, 2016: British Journal of Surgery
https://www.readbyqxmd.com/read/27995425/prophylactic-mesh-to-prevent-parastomal-hernia-after-end-colostomy-a-meta-analysis-and-trial-sequential-analysis
#5
REVIEW
M López-Cano, H-T Brandsma, K Bury, B Hansson, I Kyle-Leinhase, J G Alamino, F Muysoms
PURPOSE: Prevention of parastomal hernia (PSH) formation is crucial, given the high prevalence and difficulties in the surgical repair of PSH. To investigate the effect of a preventive mesh in PSH formation after an end colostomy, we aimed to meta-analyze all relevant randomized controlled trials (RCTs). METHODS: We searched five databases. For each trial, we extracted risk ratios (RRs) of the effects of mesh or no mesh. The primary outcome was incidence of PSH with a minimum follow-up of 12 months with a clinical and/or computed tomography diagnosis...
December 19, 2016: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/27991018/-our-experiences-with-the-use-of-3-dimensional-meshes-to-prevent-and-to-repair-parastomal-hernias
#6
Zoltán Jánó, Elemér Mohos, György Réti, Tamás Kovács, József Mohay, Csaba Berki, Sándor Horváth, Krisztina Bene, Myroslav Horzov, Gábor Bognár, Gábor Sándor, Péter Szenkovits, Petra Mohos, Gábor Tornai, Attila Nagy
INTRODUCTION: Albeit there is decreasing tendency nowadays for stoma construction, if it still happens, parastomal herniation might occur in up to 50% of cases afterwards. One third of the cases requires surgical correction, not rarely as an emergency. The different methods of repair can be quite demanding and the complication rates are high. From 2003 we have started to use specially designed 3-dimensional meshes for the prevention and repair of parastomal hernias. METHODS: From 1st of January 2012 to 1st of June 2016 we have used these devices within the framework of a prospective, controlled, randomized study enrolling the patients in preventive and repair arms...
December 2016: Magyar Sebészet
https://www.readbyqxmd.com/read/27942965/prophylactic-mesh-to-prevent-parastomal-hernia-a-meta-analysis-of-randomized-controlled-studies
#7
REVIEW
S V Patel, L Zhang, S A Chadi, S D Wexner
The aim of the present meta-analysis was to determine whether prophylactic mesh decreases the odds of parastomal hernia formation. Randomized controlled trials referenced in MEDLINE or EMBASE between 1946 and 2016 comparing prophylactic mesh to standard stoma formation were included. The primary outcome was occurrence of parastomal hernia. Secondary outcomes were parastomal hernia requiring surgical intervention and complications. Odds ratios were calculated for the primary and secondary outcomes. Subgroup analyses were conducted based on mesh type, mesh location, laparoscopic versus open, and method of hernia diagnosis...
December 10, 2016: Techniques in Coloproctology
https://www.readbyqxmd.com/read/27934790/abdomino-endoscopic-perineal-excision-of-the-rectum-for-benign-and-malignant-pathology-technique-considerations-for-true-transperineal-verus-transanal-total-mesorectal-excision-endoscopic-proctectomy
#8
Hazar Al Furajii, Niall Kennedy, Ronan A Cahill
PURPOSE: Transanal minimally invasive surgery using single port instrumentation is now well described for the performance of total mesorectal excision with restorative colorectal/anal anastomosis most-often in conjunction with transabdominal multiport assistance. While non-restorative abdomino-endoscopic perineal excision of the anorectum is conceptually similar, it has been less detailed in the literature. METHODS: Consecutive patients undergoing non-restorative ano-proctectomy including a transperineal endoscopic component were analysed...
January 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/27926564/systematic-review-and-meta-analysis-of-prophylactic-mesh-during-primary-stoma-formation-to-prevent-parastomal-hernia
#9
Stephen J Chapman, Benjamin Wood, Thomas M Drake, Neville Young, David G Jayne
BACKGROUND: Implantation of mesh at the time of stoma formation may reduce the rate of parastomal hernia. Until recently, the evidence has been limited to only a few small randomized controlled trials. OBJECTIVE: We present an updated systematic review and meta-analysis to assess the effect of mesh prophylaxis on rates of parastomal hernia. We examine ongoing and unpublished trials via online registries and propose recommendations for future research. DATA SOURCES: MEDLINE, EMBASE, and the Cochrane Library were searched up to March 2016 for published randomized controlled trials...
January 2017: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/27926557/long-term-quality-of-life-of-patients-with-permanent-end-ileostomy-results-of-a-nationwide-cross-sectional-survey
#10
Tobias S Schiergens, Verena Hoffmann, Tamara N Schobel, Gerhard H Englert, Martin E Kreis, Wolfgang E Thasler, Jens Werner, Michael S Kasparek
BACKGROUND: Patients with permanent end ileostomy are at high risk for detrimental stomal effects on their quality of life. However, little is known about the long-term quality of life of these patients. OBJECTIVE: The purpose of this study was to assess long-term quality of life in patients with permanent end ileostomy. DATA SOURCES: Registration at the German self-help organization ILCO was used for this study. STUDY SELECTION: Selection included a cross-sectional survey of 1434 patients with permanent end ileostomy...
January 2017: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/27919277/a-study-of-long-term-complications-associated-with-enteral-ostomy-and-their-contributory-factors
#11
Umesh Jayarajah, Asuramuni M P Samarasekara, Dharmabandhu N Samarasekera
BACKGROUND: Complications of ostomy significantly affect the quality of life of ostomates. There is little evidence on the rate of long-term complications in ostomates, especially from the developing countries which include Sri Lanka. This study was aimed to describe the long-term complications of enteral ostomies and their contributory factors. METHODS: A retrospective analysis was carried out on 192 patients who underwent ostomy creation over a period of 5 years...
December 5, 2016: BMC Research Notes
https://www.readbyqxmd.com/read/27878459/stapled-mesh-stoma-reinforcement-technique-smart-in-the-prevention-of-parastomal-hernia-a-single-centre-experience
#12
Z Q Ng, P Tan, M Theophilus
PURPOSE: Parastomal hernia remains a frequent complication following creation of an abdominal stoma. Previous interests have centred around the exploration of methods to repair; however, prophylactic mesh placement has demonstrated its efficacy in reduction of parastomal hernia. The aim of this retrospective analysis was to evaluate the outcomes of Stapled Mesh stomA Reinforcement Technique (SMART) in terms of parastomal hernia occurrence rate and mesh-related complications. METHODS AND MATERIALS: All patients operated with an abdominal perineal resection or Hartmann's procedure with SMART from November 2013 to March 2016 were included...
November 22, 2016: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/27828820/preventing-parastomal-hernia-using-a-modified-sugarbaker-technique-with-composite-mesh-during-laparoscopic-abdominoperineal-resection-a-randomized-controlled-trial
#13
Manuel López-Cano, Xavier Serra-Aracils, Laura Mora, José Luis Sánchez-García, Luis Miguel Jiménez-Gómez, Marc Martí, Francesc Vallribera, Domenico Fraccalvieri, Anna Serracant, Esther Kreisler, Sebastiano Biondo, Eloy Espín, Salvador Navarro-Soto, Manuel Armengol-Carrasco
OBJECTIVE: The aim of this study was to assess the reduction in the incidence of parastomal hernia (PH) after placement of prophylactic synthetic mesh using a modified Sugarbaker technique when a permanent end-colostomy is needed. SUMMARY OF BACKGROUND DATA: Prevention of PH formation is crucial given the high prevalence of PH and difficulties in the surgical repair of PH. METHODS: A randomized, prospective, double-blind, and controlled trial...
December 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27818679/prophylactic-mesh-application-during-colostomy-to-prevent-parastomal-hernia-a-meta-analysis
#14
REVIEW
JunJia Zhu, YuWei Pu, XiaoDong Yang, DeBao Zhang, Kui Zhao, Wei Peng, ChunGen Xing
Background. Parastomal hernia is a common complication after stoma formation, especially in permanent colostomy. The present meta-analysis aimed to evaluate the effectiveness of prophylactic mesh application during permanent colostomy for preventing parastomal hernia. Methods. Randomized controlled trials comparing outcomes in patients who underwent colostomy with or without prophylactic mesh application were identified from PubMed, EMBASE, Science Citation Index, and the Cochrane Libraries. Results. This meta-analysis included 8 randomized controlled trials with 522 participants...
2016: Gastroenterology Research and Practice
https://www.readbyqxmd.com/read/27807575/intestinal-perforation-following-ileoscopy-through-a-prolapsed-stoma-in-an-pediatric-intestinal-transplant-recipient-with-an-unrecognized-parastomal-hernia
#15
Pavni Mehrotra, Joanna Yeh, Theodore R Hall, Vatche G Agopian, Douglas G Farmer, Elizabeth A Marcus, Robert S Venick, Laura J Wozniak
Ileoscopy with mucosal biopsy is fundamental in the management and surveillance of inflammatory bowel disease patients and intestinal transplant recipients. There is a paucity of data describing the risks of ileoscopy in the presence of a prolapsed stoma. Parastomal hernias are frequently associated with prolapsed stomas. We report the first case of perforation during ileoscopy in the setting of a prolapsed stoma and unrecognized parastomal hernia. Recognition of parastomal hernia associated with stoma prolapse is of paramount importance in patients undergoing ileoscopy as it may increase the risk of perforation...
August 2016: ACG Case Reports Journal
https://www.readbyqxmd.com/read/27607745/prevalence-of-parastomal-hernia-and-factors-associated-with-its-development
#16
Beverley Temple, Trevor Farley, Kristine Popik, Carisa Ewanyshyn, Elaine Beyer, Brenden Dufault
PURPOSE: The purpose of this study was to identify risk factors for development of a parastomal hernia (PH). DESIGN: Cross-sectional survey. SETTING AND SUBJECTS: The target population comprised 2854 persons receiving services from the Manitoba Ostomy Program. Seven hundred sixty-four responses were received, yielding a response rate of 29.3%. Respondents average age was 70 years (SD = 12.8); 425 (55.6%) had a colostomy, 236 (30.8%) had an ileostomy, 63 (8...
September 2016: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/27582655/parastomal-hernia-avoidance-and-treatment-in-the-21st-century
#17
Sean C Glasgow, Sekhar Dharmarajan
Despite medical and surgical advances leading to increased ability to restore or preserve gastrointestinal continuity, creation of stomas remains a common surgical procedure. Every ostomy results in a risk for subsequent parastomal herniation, which in turn may reduce quality of life and increase health care expenditures. Recent evidence-supported practices such as utilization of prophylactic reinforcement, attention to stoma placement, and laparoscopic-based stoma repairs with mesh provide opportunities to both prevent and successfully treat parastomal hernias...
September 2016: Clinics in Colon and Rectal Surgery
https://www.readbyqxmd.com/read/27553802/relationship-between-stoma-creation-route-for-end-colostomy-and-parastomal-hernia-development-after-laparoscopic-surgery
#18
Hitoshi Hino, Tomohiro Yamaguchi, Yusuke Kinugasa, Akio Shiomi, Hiroyasu Kagawa, Yushi Yamakawa, Masakatsu Numata, Akinobu Furutani, Takuya Suzuki, Kakeru Torii
BACKGROUND: The therapeutic benefits of extraperitoneal colostomy with laparoscopic surgery remain unclear. The aim of this study was to investigate the relationship between the route for stoma creation with laparoscopic surgery and stoma-related complications, especially parastomal hernia (PSH). METHODS: From January 2007 to March 2015, a total of 59 patients who underwent laparoscopic abdominoperineal resection or Hartmann procedure were investigated. Patient demographic and treatment characteristics, including stoma-related complications, were analyzed retrospectively...
August 23, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27492376/-prophylactic-meshes-in-the-abdominal-wall-german-version
#19
F E Muysoms, U A Dietz
BACKGROUND: There is a high incidence of incisional hernias in specific high-risk patient populations. For these patients, the prophylactic placement of mesh during closure of the abdominal wall incision has been investigated in several prospective studies. OBJECTIVE: This article aims to summarize and synthetize the currently available evidence on prophylactic meshes in a narrative review. MATERIALS AND METHODS: Systematic reviews were performed on the use of prophylactic meshes in different indications: midline laparotomies, stoma reversal wounds, and permanent stoma...
September 2016: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/27471840/prophylactic-mesh-placement-during-formation-of-an-end-colostomy-reduces-the-rate-of-parastomal-hernia-short-term-results-of-the-dutch-prevent-trial
#20
Henk-Thijs Brandsma, Birgitta M E Hansson, Theo J Aufenacker, Dick van Geldere, Felix M V Lammeren, Chander Mahabier, Peter Makai, Pascal Steenvoorde, Tammo S de Vries Reilingh, Marinus J Wiezer, Johannes H W de Wilt, Robert P Bleichrodt, Camiel Rosman
OBJECTIVE: The aim of this study was to investigate the incidence of parastomal hernias (PSHs) after end-colostomy formation using a polypropylene mesh in a randomized controlled trial versus conventional colostomy formation. BACKGROUND: A PSH is the most frequent complication after stoma formation. Symptoms may range from mild abdominal pain to life-threatening obstruction and strangulation. The treatment of a PSH is notoriously difficult and recurrences up to 20% have been reported despite the use of mesh...
July 29, 2016: Annals of Surgery
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