Video-assisted preperitoneal repair of parastomal hernia

Andrzej Jamry

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Videosurgery and Other Miniinvasive Techniques

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2/2009
vol. 4

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abstract:

Case report

Video-assisted preperitoneal repair of parastomal hernia

Andrzej Jamry

Videosurgery and other miniinvasive techniques 2009; 4 (2): 79–82

Online publish date: 2009/07/08

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Parastomal hernia repair is still an unresolved surgical problem, associated with high rate of recurrence and morbidity. Conventional methods with use of a mesh require extensive tissue preparation with significant traumatization. Meanwhile, a substantial problem of the laparoscopic approach is division of intestinal adhesions with risk of their iatrogenic injury. Therefore preperitoneal video-assisted repair seems the best option. This technique, preserving the advantage of minimal tissue traumatization, does not necessitate separation of adhesions in the peritoneum. For a selected group of patients with parastomal hernia it can become a profitable alternative. Video-assisted preperitoneal parastomal hernia repair was performed in a patient with parastomal hernia type IV, according to Devlin’s classification, and a history of three laparotomies.

keywords:

Video-assisted preperitoneal repair of parastomal hernia

Andrzej Jamry

colostomy, video-assisted surgery, ventral hernia