Prevention of paracolostomic hernia

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.

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

DOI: 10.17116/hirurgia20161052-56

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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 2025 (Pirogov Russian Journal of Surgery)

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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

List of references:

Sugarbaker PH. Peritoneal approach to prosthetic mesh repair of paraostomy hernias. Ann Surg. 1985;201(3):344-346.
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
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.
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.
Brandsma HT, Hansson BM, Aufenacker TJ, van Geldere D, van Lammeren FM, Mahabier C, Steenvoorde P, de VriesReilingh TS, Wiezer RJ, de Wilt JH, Bleichrodt RP, Rosman C. Prophylactic mesh placement to prevent parastomal hernia, early results of a prospective multicentre randomized trial. Hernia. 2015.
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.
López-Cano M, Lozoya-Trujillo R, Quiroga S, Sánchez JL, Vallribera F, Martí M, Jiménez LM, Armengol-Carrasco M, Espín E. Use of a prosthetic mesh to prevent parastomal hernia during laparoscopic abdominoperineal resection: a randomized controlled trial. Hernia. 2012;16(6):661-667.
Hamada M, Ozaki K, Muraoka G, Kawakita N, Nishioka Y. Permanent end-sigmoid colostomy through the extraperitoneal route prevents parastomal hernia after laparoscopic abdominoperineal resection. Dis Colon Rectum. 2012;55(9):963-969.
Helgstrand F, Gögenur I, Rosenberg J. Prevention of parastomal hernia by the placement of a mesh at the primary operation. Hernia. 2008;12(6):577-582.
Pilgrim CH, McIntyre R, Bailey M. Prospective audit of parastomal hernia: prevalence and associated comorbidities. Dis Colon Rectum. 2010;53(1):71-76.
Hotouras A, Murphy J, Thaha M, Chan CL. The persistent challenge of parastomal herniation: a review of the literature and future developments. Colorectal Dis. 2013;15(5):202-214.
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
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
Su Han Seo, Hee Jung Kim, SeungYeop Oh, JeiHee Lee, Kwang Wook Suh Computed tomography classification for parastomal hernia. J Korean Surg Soc. 2011;81:111-114. doi: 10.4174/jkss.2011.81.2.111
Sung Yeon Hong, SeungYeop Oh, Jae Hee Lee, Do Yoon Kim, Kwang Wook Suh. Risk factors for parastomal hernia: based on radiological definition. J Korean Surg Soc. 2013;84:43-47. http://dx.doi.org/10.4174/jkss.2013.84.1.43

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