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Goncharov A.L.

Gorodskaia klinicheskaia bol'nitsa #24

Razbirin V.N.

Gorodskaia klinicheskaia bol'nitsa #24

Shalaeva T.I.

Kafedra obshcheĭ khirurgii lechebnogo fakul'teta Rossiĭskogo gosudarstvennogo meditsinskogo universiteta im. N.I. Pirogova;
Gorodskaia klinicheskaia bol'nitsa #13, Moskva

Cherner V.A.

Kafedra obshcheĭ khirurgii lechebnogo fakul'teta Rossiĭskogo gosudarstvennogo meditsinskogo universiteta Roszdrava, GKB #13 Departamenta zdravookhraneniia Moskvy

Razbirin D.V.

Gorodskaia klinicheskaia bol'nitsa #24 DZ Moskvy

Gurova O.V.

City Clinical Hospital №24, Moscow Health Department

Aslanyan A.S.

Department of General Surgery and Radiologocal Diagnosis, Pirogov Russian Research Medical University, Moscow, Russia

Prevention of paracolostomic hernia

Authors:

Goncharov A.L., Razbirin V.N., Shalaeva T.I., Cherner V.A., Razbirin D.V., Gurova O.V., Aslanyan A.S.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2016;(10): 52‑56

DOI: 10.17116/hirurgia20161052-56

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Table of contents

PREVENTION OF PARACOLOSTOMIC HERNIA
PREVENTION OF PARACOLOSTOMIC HERNIA

To cite this article:

Goncharov AL, Razbirin VN, Shalaeva TI, Cherner VA, Razbirin DV, Gurova OV, Aslanyan AS. Prevention of paracolostomic hernia. Pirogov Russian Journal of Surgery. 2016;(10):52‑56. (In Russ.)
https://doi.org/10.17116/hirurgia20161052-56

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Aim. To improve the prevention of paracolostomic hernias. Material and methods. We studied the prevention of paracolostomic hernia using mesh allograft. The study involved 73 patients with low-ampullary rectal cancer. Open or laparoscopic abdominoperineal extirpation of rectum was performed in all observations. 21 patients underwent prophylactic Sugarbaker’s repair of paracolostomic area. We used the modifications of this surgical stage for transabdominal and retroperitoneal stoma. Results. There were no postoperative complications associated with the use of allograft. The hernia occurred in one case (4.8%) of prevention group and in 14 (26.9%) patients of control group. Conclusion. The first results of composite allograft application to prevent paracolostomic hernias are encouraging. The absence of specific complications and favorable long-term results allow to continue the investigation.

Keywords:

paracolostomic hernia
prevention mesh allograft

Authors:

Goncharov A.L.

Gorodskaia klinicheskaia bol'nitsa #24

Razbirin V.N.

Gorodskaia klinicheskaia bol'nitsa #24

Shalaeva T.I.

Kafedra obshcheĭ khirurgii lechebnogo fakul'teta Rossiĭskogo gosudarstvennogo meditsinskogo universiteta im. N.I. Pirogova;
Gorodskaia klinicheskaia bol'nitsa #13, Moskva

Cherner V.A.

Kafedra obshcheĭ khirurgii lechebnogo fakul'teta Rossiĭskogo gosudarstvennogo meditsinskogo universiteta Roszdrava, GKB #13 Departamenta zdravookhraneniia Moskvy

Razbirin D.V.

Gorodskaia klinicheskaia bol'nitsa #24 DZ Moskvy

Gurova O.V.

City Clinical Hospital №24, Moscow Health Department

Aslanyan A.S.

Department of General Surgery and Radiologocal Diagnosis, Pirogov Russian Research Medical University, Moscow, Russia

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References:

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  2. López-Cano M, Serra-Aracil X. Parastomal hernia prevention through laparoscopic modified Sugarbaker technique with composite mesh (Physiomesh).Cir Esp. 2013;91(5):331-334.  doi: 10.1016/j.ciresp.2013.01.003
  3. Hansson BM, Morales-Conde S, Mussack T, Valdes J, Muysoms FE, Bleichrodt RP. The laparoscopic modified Sugarbaker technique is safe and has a low recurrence rate: a multicenter cohort study. Surg Endosc. 2013;27(2):494-500.
  4. Brandsma HT, Hansson BM, V-Haaren-de Haan H, Aufenacker TJ, Rosman C, Bleichrodt RP. PREVENTion of a parastomal hernia with a prosthetic mesh in patients undergoing permanent end-colostomy; the PREVENT-trial: study protocol for a multicenter randomized controlled trial. Trials. 2012;13:226.
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  6. Muysoms EE, Hauters PJ, Van Nieuwenhove Y, Huten N, Claeys DA. Laparoscopic repair of parastomal hernias: a multi-centre retrospective review and shift in technique. Acta Chir Belg. 2008;108(4):400-404.
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  12. Fortelny RH, Hofmann A, May C, Köckerling F; BioMesh Study Group. Prevention of a Parastomal Hernia by Biological Mesh Reinforcement. Front Surg. 2015;2:53.  doi: 10.3389/fsurg.2015.00053
  13. Fleshman JW, Beck DE, Hyman N, Wexner SD, Bauer J, George V, et al. A prospective, multicenter, randomized, controlled study of non-cross-linked porcine acellular dermal matrix fascial sublay for parastomal reinforcement in patients undergoing surgery for permanent abdominal wall ostomies. Dis Colon Rectum. 2014;57(5):623-631.  doi: 10.1097/DCR.0000000000000106
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