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Repair of Concomitant Incisional and Parastomal Hernias Using a Hybrid Technique: A Series of 32 Patients.

Authors :
Zhu X
Tian W
Li J
Sun P
Pei L
Wang S
Source :
Medical science monitor : international medical journal of experimental and clinical research [Med Sci Monit] 2015 Jul 17; Vol. 21, pp. 2079-83. Date of Electronic Publication: 2015 Jul 17.
Publication Year :
2015

Abstract

Background: Concomitant incisional and parastomal hernias is a challenging condition. We used a hybrid technique of sublay and onlay to treat patients with this condition.<br />Material and Methods: The clinical data of 32 consecutive patients treated from February 2008 to April 2014 for concomitant incisional and parastomal hernias were retrospectively reviewed. The mean diameter was 9 (range 4-13) cm of the incisional hernias, and 6 (range 4.5-8) cm of the parastomal hernias.<br />Results: The mean operative time was 247 (range 220-290) min. The mean hospital stay was 20 (range 14-27) days. All surgical wounds healed by primary intention. Seven patients had postoperative seroma and were well managed with puncture and compression. All 32 patients were followed up for a mean of 48 (range 5-68) months. Four patients recurred with parastomal hernias and were treated with secondary surgery. No further recurrence occurred until the last follow-up.<br />Conclusions: This hybrid technique of sublay and onlay is only suitable for the repair of complex incisional and parastomal hernias.

Details

Language :
English
ISSN :
1643-3750
Volume :
21
Database :
MEDLINE
Journal :
Medical science monitor : international medical journal of experimental and clinical research
Publication Type :
Academic Journal
Accession number :
26186130
Full Text :
https://doi.org/10.12659/MSM.893838