Surgical strategies for recurrent parastomal hernia after a primary repair with a Dynamesh® IPST mesh

Purpose To introduce our surgical strategies for recurrent parastomal hernia after a primary repair with a Dynamesh ® IPST mesh. Methods Ten patients who underwent recurrent parastomal hernia repair with previous Dynamesh ® IPST mesh use were analyzed retrospectively. Distinct surgery strategies wer...

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Veröffentlicht in:Hernia : the journal of hernias and abdominal wall surgery 2023-06, Vol.27 (3), p.617-621
Hauptverfasser: Liu, Yanyang, Fu, Xiaojian, Chen, Hao, Yao, Qiyuan
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container_title Hernia : the journal of hernias and abdominal wall surgery
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creator Liu, Yanyang
Fu, Xiaojian
Chen, Hao
Yao, Qiyuan
description Purpose To introduce our surgical strategies for recurrent parastomal hernia after a primary repair with a Dynamesh ® IPST mesh. Methods Ten patients who underwent recurrent parastomal hernia repair with previous Dynamesh ® IPST mesh use were analyzed retrospectively. Distinct surgery strategies were applied. Accordingly, we investigated the recurrence rate and postoperative complications in these patients, who were followed for an average of 35.9 months after surgery. Results There was no recorded death and no readmission during the 30-day postoperative period. And the lap-re-do Sugarbaker group had no recurrence, whereas the open suture group had one recurrence (16.7%). One patient in the Sugarbaker group developed ileus and recovered conservatively during the follow-up period. There were no other complications, including seroma, mesh infection and bulging, or prolonged postoperative pain. Conclusions We offer two predominant surgery strategies for recurrent parastomal hernia with a previous Dynamesh ® IPST mesh usage, the open suture repair, and the Lap-re-do Sugarbaker repair. Even though the results of the Lap-re-do Sugarbaker repair are satisfactory, we recommend the open suture technique as it is safer in a setting of dense adhesions in recurrent parastomal hernias.
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Methods Ten patients who underwent recurrent parastomal hernia repair with previous Dynamesh ® IPST mesh use were analyzed retrospectively. Distinct surgery strategies were applied. Accordingly, we investigated the recurrence rate and postoperative complications in these patients, who were followed for an average of 35.9 months after surgery. Results There was no recorded death and no readmission during the 30-day postoperative period. And the lap-re-do Sugarbaker group had no recurrence, whereas the open suture group had one recurrence (16.7%). One patient in the Sugarbaker group developed ileus and recovered conservatively during the follow-up period. There were no other complications, including seroma, mesh infection and bulging, or prolonged postoperative pain. Conclusions We offer two predominant surgery strategies for recurrent parastomal hernia with a previous Dynamesh ® IPST mesh usage, the open suture repair, and the Lap-re-do Sugarbaker repair. Even though the results of the Lap-re-do Sugarbaker repair are satisfactory, we recommend the open suture technique as it is safer in a setting of dense adhesions in recurrent parastomal hernias.</description><identifier>ISSN: 1248-9204</identifier><identifier>ISSN: 1265-4906</identifier><identifier>EISSN: 1248-9204</identifier><identifier>DOI: 10.1007/s10029-023-02757-4</identifier><identifier>PMID: 36811791</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Abdominal Surgery ; Complications ; Hernia ; Hernia, Ventral - surgery ; Hernias ; Herniorrhaphy - methods ; Humans ; Laparoscopy - methods ; Medicine ; Medicine &amp; Public Health ; Original Article ; Postoperative ; Retrospective Studies ; Surgery ; Surgical mesh ; Surgical Mesh - adverse effects ; Surgical Stomas - adverse effects ; Sutures ; Treatment Outcome</subject><ispartof>Hernia : the journal of hernias and abdominal wall surgery, 2023-06, Vol.27 (3), p.617-621</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature 2023. 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Methods Ten patients who underwent recurrent parastomal hernia repair with previous Dynamesh ® IPST mesh use were analyzed retrospectively. Distinct surgery strategies were applied. Accordingly, we investigated the recurrence rate and postoperative complications in these patients, who were followed for an average of 35.9 months after surgery. Results There was no recorded death and no readmission during the 30-day postoperative period. And the lap-re-do Sugarbaker group had no recurrence, whereas the open suture group had one recurrence (16.7%). One patient in the Sugarbaker group developed ileus and recovered conservatively during the follow-up period. There were no other complications, including seroma, mesh infection and bulging, or prolonged postoperative pain. Conclusions We offer two predominant surgery strategies for recurrent parastomal hernia with a previous Dynamesh ® IPST mesh usage, the open suture repair, and the Lap-re-do Sugarbaker repair. Even though the results of the Lap-re-do Sugarbaker repair are satisfactory, we recommend the open suture technique as it is safer in a setting of dense adhesions in recurrent parastomal hernias.</description><subject>Abdominal Surgery</subject><subject>Complications</subject><subject>Hernia</subject><subject>Hernia, Ventral - surgery</subject><subject>Hernias</subject><subject>Herniorrhaphy - methods</subject><subject>Humans</subject><subject>Laparoscopy - methods</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Original Article</subject><subject>Postoperative</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Surgical mesh</subject><subject>Surgical Mesh - adverse effects</subject><subject>Surgical Stomas - adverse effects</subject><subject>Sutures</subject><subject>Treatment Outcome</subject><issn>1248-9204</issn><issn>1265-4906</issn><issn>1248-9204</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kclOwzAQhi0EYim8AAdkiQuXgLfE9hGxS0ggAWfLSSZtUJOUcSLUl-IheDJcWhZx4GD7l-ebGY9_QvY5O-aM6ZMQd2ETJmRcOtWJWiPbXCiTWMHU-i-9RXZCeGaMGZWZTbIlM8O5tnybVA8DjuvCT2no0fcwriHQqkOKUAyI0PZ05tGHvmsiMwFsa0991QNST2dYNx7nkZ35Gulr3U_i7fm89Q2Eyfsbvbl_eKQLvUs2Kj8NsLc6R-Tp8uLx7Dq5vbu6OTu9TQqp0z6xeapyW2YyA55741NbpKqMo8lcZVIanWWaMwWirKIsdWmrSpYxpEyWAwg5IkfLujPsXgYIvWvqUMB06lvohuCE1lamTKcL9PAP-twN2MbXOWG4TaWRkR0RsaQK7EJAqNxqaMeZW7jgli646IL7dMGpmHSwKj3kDZTfKV_fHgG5BEIMtWPAn97_lP0AKCKSnw</recordid><startdate>20230601</startdate><enddate>20230601</enddate><creator>Liu, Yanyang</creator><creator>Fu, Xiaojian</creator><creator>Chen, Hao</creator><creator>Yao, Qiyuan</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20230601</creationdate><title>Surgical strategies for recurrent parastomal hernia after a primary repair with a Dynamesh® IPST mesh</title><author>Liu, Yanyang ; 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Methods Ten patients who underwent recurrent parastomal hernia repair with previous Dynamesh ® IPST mesh use were analyzed retrospectively. Distinct surgery strategies were applied. Accordingly, we investigated the recurrence rate and postoperative complications in these patients, who were followed for an average of 35.9 months after surgery. Results There was no recorded death and no readmission during the 30-day postoperative period. And the lap-re-do Sugarbaker group had no recurrence, whereas the open suture group had one recurrence (16.7%). One patient in the Sugarbaker group developed ileus and recovered conservatively during the follow-up period. There were no other complications, including seroma, mesh infection and bulging, or prolonged postoperative pain. Conclusions We offer two predominant surgery strategies for recurrent parastomal hernia with a previous Dynamesh ® IPST mesh usage, the open suture repair, and the Lap-re-do Sugarbaker repair. Even though the results of the Lap-re-do Sugarbaker repair are satisfactory, we recommend the open suture technique as it is safer in a setting of dense adhesions in recurrent parastomal hernias.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>36811791</pmid><doi>10.1007/s10029-023-02757-4</doi><tpages>5</tpages></addata></record>
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subjects Abdominal Surgery
Complications
Hernia
Hernia, Ventral - surgery
Hernias
Herniorrhaphy - methods
Humans
Laparoscopy - methods
Medicine
Medicine & Public Health
Original Article
Postoperative
Retrospective Studies
Surgery
Surgical mesh
Surgical Mesh - adverse effects
Surgical Stomas - adverse effects
Sutures
Treatment Outcome
title Surgical strategies for recurrent parastomal hernia after a primary repair with a Dynamesh® IPST mesh
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