Ring-Reinforced Prosthesis for Paracolostomy Hernia

Vol. 22, No. 3, 2005

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Original Paper

Ring-Reinforced Prosthesis for Paracolostomy Hernia
P. de Ruiter^a, A.B. Bijnen^{a, b}

^aDepartment of Surgery, Medical Center Alkmaar, Alkmaar, and
^bInstitute of Medical Education, Free University Medical Centre, Amsterdam, The Netherlands

Address of Corresponding Author

Dig Surg 2005;22:152-156 (DOI: 10.1159/000087147)

Key Words

Parastomal hernia
Polypropylene ring
Polypropylene mesh prosthesis
Rectus abdominis muscle

Abstract

Background: The reported recurrence rate after paracolostomy hernia repair, with or without mesh, varies between 47 and 100%. We developed a polypropylene mesh prosthesis with a central opening, reinforced with a polypropylene ring, that can be implanted suprafascially through a mucocutaneous incision. Methods: The results of a consecutive series of 46 patients with paracolostomy hernia, who were implanted with this prosthesis between October 1988 and November 2000 in 12 hospitals, were analyzed. The mean follow-up was 5 (range 1-13) years. Results: The early infection rate was 4.3%. Two patients were lost to follow-up. The late infection rate was 2.3%. Seven patients (15.9%) developed a recurrent parastomal hernia and were all reoperated. The prosthesis was definitively removed in 10 patients. Conclusion: Although implantation of this new prosthesis is not without complications, it offers the lowest reported recurrence rate until now.

Author Contacts

Prof. Dr. A.B. Bijnen
Medisch Centrum Alkmaar
Wilhelminalaan 12
NL-1815 JD Alkmaar (The Netherlands)
Tel. +31 72 5482412, Fax +31 72 5482422, E-Mail a.b.bijnen@mca.nl

Article Information

Received: July 16, 2004
Accepted: February 4, 2005
Published online: July 20, 2005
Number of Print Pages : 5
Number of Figures : 2, Number of Tables : 2, Number of References : 16

Medline Abstract (ID 16037675)

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