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. 2022 Jun 28:9:907316.
doi: 10.3389/fsurg.2022.907316. eCollection 2022.

A Modified Surgical Technique to Prevent Parastomal Hernia

Zhuolin Fan  1 , Weiyu Guan  1 , Tao Zhang  1 , Dewei Zhang  1
Affiliations

A Modified Surgical Technique to Prevent Parastomal Hernia

Zhuolin Fan et al. Front Surg. .

Abstract

An extraperitoneal colostomy is not sufficiently effective in preventing parastomal hernias. On the basis of anatomic structures and mechanical principles, we modified this surgical technique by preserving the integrity of the posterior rectus abdominis sheath to prevent parastomal hernia, and we applied it clinically.

Keywords: abdominal rectus muscles; abdominoperineal resection; colostomy; parastomal hernia; posterior rectus abdominis sheath; rectal cancer.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Tunnel entrance.
Figure 2
Figure 2
Open approach.
Figure 3
Figure 3
Extraperitoneal tunnel.
Figure 4
Figure 4
Stoma route.
Figure 5
Figure 5
Anatomical sketch (left side).
See this image and copyright information in PMC

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References

    1. Okorji LM, Kasten KR. Diagnosis and management of parastomal hernias. Dis Colon Rectum. (2019) 62(2):158–62. 10.1097/DCR.0000000000001293 - DOI - PubMed
    1. Antoniou S, Agresta F, Garcia Alamino J, Berger D, Berrevoet F, Brandsma H-T, et al. European Hernia Society guidelines on prevention and treatment of parastomal hernias. Hernia. (2018) 22(1):183–98. 10.1007/s10029-017-1697-5 - DOI - PubMed
    1. Cross A, Buchwald P, Frizelle F, Eglinton T. Meta-analysis of prophylactic mesh to prevent parastomal hernia. Br J Surg. (2017) 104(3):179–86. 10.1002/bjs.10402 - DOI - PubMed
    1. Odensten C, Strigård K, Rutegård J, Dahlberg M, Ståhle U, Gunnarsson U, et al. Use of prophylactic mesh when creating a colostomy does not prevent parastomal hernia: a randomized controlled trial—STOMAMESH. Ann Surg. (2019) 269(3):427. 10.1097/SLA.0000000000002542 - DOI - PMC - PubMed
    1. Lee L, Saleem A, Landry T, Latimer E, Chaudhury P, Feldman LS. Cost effectiveness of mesh prophylaxis to prevent parastomal hernia in patients undergoing permanent colostomy for rectal cancer. J Am Coll Surg. (2014) 218(1):82–91. 10.1016/j.jamcollsurg.2013.09.015 - DOI - PubMed

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