Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on sleep in brain health

LIVE: Thursday 2nd May 2024, 18:00-19:30 (CEST)

Quality sleep is essential for health. But what happens to our brains when sleep patterns are disturbed? Join our experts to explore the interplay between sleep disruption and neurological diseases, and the questions that you need to be asking your patients to help you prevent the harmful effects of sleep deprivation.
ADVANCED SEARCH
Log in
Top
Hernia
Published in: Hernia 3/2008

01-06-2008 | Original Article

Prevention of parastomal hernias by prophylactic use of a specially designed intraperitoneal onlay mesh (Dynamesh IPST®)

Author: D. Berger

Published in: Hernia | Issue 3/2008

Login to get access

Abstract

Background

Hernias around ostomies are a very common complication, exceeding 50%. Only a few studies deal with the prophylactic use of mesh to prevent parastomal hernia revealing promising results.

Patients and methods

Twenty-two patients undergoing elective rectal surgery with a permanent colostomy—one with an ileostomy and two needing surgical correction of a preexisting colostomy—were enrolled in a prospective study. A specially designed mesh made of polyvinylidene fluoride with a central whole and a funnel arising (Dynamesh IPST®) was prophylactically implanted using an intraperitoneal onlay technique. The patients were followed for a median of 11 (range 2–19) months by clinical examination every 3 months.

Results

No infection or any other adverse effect was observed, and no parastomal hernia or stoma protrusion could be detected clinically. Twelve patients had a routine computed tomography after 6 months, which also excluded any hernia formation.

Conclusion

The prophylactic use of Dynamesh IPST® is a safe and effective procedure preventing stoma complications such as hernia formation or prolapse, at least in the short run.
Literature
1.
Leslie D (1984) The parastomal hernia. Surg Clin North Am 64:407–415PubMed
2.
Cheung MT (1995) Complications of an abdominal stoma: an analysis of 322 stomas. Aust N Z J Surg 65:808–811PubMedCrossRef
3.
Kasperk R, Willis S, Klinge U, Schumpelick V (2002) Update on incisional hernia. Parastomal hernia. Chirurg 73:895–898PubMedCrossRef
4.
5.
Cingi A, Cakir T, Sever A, Aktan AO (2006) Enterostomy site hernias: a clinical and computerized tomographic evaluation. Dis Colon Rectum 49:1559–1563PubMedCrossRef
6.
Leong AP, Londono-Schimmer EE, Phillips RK (1994) Life-table analysis of stomal complications following ileostomy. Br J Surg 81:727–729PubMedCrossRef
7.
Londono-Schimmer EE, Leong AP, Phillips RK (1994) Life table analysis of stomal complications following colostomy. Dis Colon Rectum 37:916–920PubMedCrossRef
8.
Ortiz H, Sara MJ, Armendariz P, de Miguel M, Marti J, Chocarro C (1994) Does the frequency of paracolostomy hernias depend on the position of the colostomy in the abdominal wall? Int J Colorectal Dis 9:65–67PubMedCrossRef
9.
Ortiz H (1995) Does the difference in muscle structure of the rectus abdominis muscle of patients wearing a colostomy or ileostomy explain the different frequency of parastomal hernias? Int J Colorectal Dis 10:55PubMedCrossRef
10.
Sjodahl R, Anderberg B, Bolin T (1988) Parastomal hernia in relation to site of the abdominal stoma. Br J Surg 75:339–341PubMedCrossRef
11.
Klinge U, Si ZY, Zheng H, Schumpelick V, Bhardwaj RS, Klosterhalfen B (2001) Collagen I/III and matrix metalloproteinases (MMP) 1 and 13 in the fascia of patients with incisional hernias. J Invest Surg 14:47–54PubMedCrossRef
12.
Klinge U, Conze J, Krones CJ, Schumpelick V (2005) Incisional hernia: open techniques. World J Surg 29:1066–1072PubMedCrossRef
13.
Klinge U, Klosterhalfen B, Ottinger AP, Junge K, Schumpelick V (2002) PVDF as a new polymer for the construction of surgical meshes. Biomaterials 23:3487–3493PubMedCrossRef
14.
Junge K, Klinge U, Prescher A, Giboni P, Niewiera M, Schumpelick V (2001) Elasticity of the anterior abdominal wall and impact for reparation of incisional hernias using mesh implants. Hernia 5:113–118PubMedCrossRef
15.
Janes A, Cengiz Y, Israelsson LA (2004) Randomized clinical trial of the use of a prosthetic mesh to prevent parastomal hernia. Br J Surg 91:280–282PubMedCrossRef
16.
Janes A, Cengiz Y, Israelsson LA (2004) Preventing parastomal hernia with a prosthetic mesh. Arch Surg 139:1356–1358PubMedCrossRef
17.
18.
Gogenur I, Mortensen J, Harvald T, Rosenberg J, Fischer A (2006) Prevention of parastomal hernia by placement of a polypropylene mesh at the primary operation. Dis Colon Rectum 49:1131–1135PubMedCrossRef
19.
Marimuthu K, Vijayasekar C, Ghosh D, Mathew G (2006) Prevention of parastomal hernia using preperitoneal mesh: a prospective observational study. Colorectal Dis 8:672–675PubMedCrossRef
20.
21.
Le Blanc KA (2005) Incisional hernia repair: laparoscopic techniques. World J Surg 29:1073–1079CrossRef
22.
Pierce RA, Spitler JA, Frisella MM, Matthews BD, Brunt LM (2007) Pooled data analysis of laparoscopic vs. open ventral hernia repair: 14 years of patient data accrual. Surg Endosc 21:378–386PubMedCrossRef
23.
Berger D, Bientzle M (2007) Laparoscopic repair of parastomal hernias: a single surgeon’s experience in 66 patients. Dis Colon Rectum 50:1661–1668CrossRef
Metadata
Title
Prevention of parastomal hernias by prophylactic use of a specially designed intraperitoneal onlay mesh (Dynamesh IPST®)
Author
D. Berger
Publication date
01-06-2008
Publisher
Springer-Verlag
Published in
Hernia / Issue 3/2008
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-007-0318-0

Other articles of this Issue 3/2008

Hernia 3/2008 Go to the issue

Case Report

Transverse testicular ectopia in a fertile elderly male presenting with incarcerated inguinoscrotal hernia

Original Article

Laparoscopic paraoesophageal hernia repair: fundoplication is not usually indicated

Original Article

Recurrent inguinal herniorrhaphy: the centripetal approach utilizing a pre-formed polypropylene plug

Reply

Authors’ reply to the letter to the editor by M. López-Cano, G. Fortuny, J. Rodríguez-Navarro, M. Armengol-Carrasco and A. Susín: Raymond C Read (2007) Arthur Keith, the anatomist who envisioned herniosis. Hernia 11:469–471

Case Report

Small bowel obstruction and perforation due to a displaced spiral tacker: a rare complication of laparoscopic inguinal hernia repair

Original Article

Postoperative hematoma following inguinal herniorrhaphy: patient characteristics leading to increased risk