Parestomal hernia repair. Prospective observational study based on the Spanish Registry of Incisional Hernia (EVEREG)

López-Cano, Manuel; Pereira, José António; Gonçalves, Victor Rodrigues; Tremolosa, Mireia Verdaguer; Hernández-Granados, Pilar; Bravo-Salvá, Alejandro; González, Antonio Utrera; Vallvey, José María Capitán; Pradas, Matías; Gomar, Daniel Pérez; Bustos, Manuel; Fernández, Francisco Antonio Herrera; Blanco, Juan A.; Puig, Joaquim Robres; Villalobos, R; Puigcercós, Dolors Güell; Fusté, José María Puigcercós; Osuna, Vicente Ayuso; Piñol, Marta; Cases, Carles Olona; Ródenas, F.; Comajuncosas, Jordi; Sebastian‐Valverde, Enric; Amador, Sara; Gelonch, Jaume; Vallverdú, Helena; Sala, Magda Abelló; Gómez, Antonio Veres; Gamón, R.; Peche, Pedro García; Valverde, Miguel González; Blanco, Miguel Ángel Martín; Ferri, Ramón; Ciñat, Elena Martí; Pastor, Providencia García; Montero, Carlos; Liñán, Miguel Ángel Lorenzo; Barbero, Vicente; Morlan, Miguel Ángel; Jover, José María; Lillo, Isabel Delgado; Obrador, Leire Zaraín; Lusilla, Alejandro; Gómez, Juan Miguel Rodríguez; Butron, T; Eslait, G Supelano; Conde, José Luis; Saborido, B. Perez; López, M. Rodríguez; Álvarez, Santiago; Parejo, Pedro Trillo; Rodicio, José L.; Blanco, Antonio; López, Jacobo Trébol; González, Ramón Castañera; Protti, Gian Pier; Luque, Damián Turiño; Espert, Juan José; Zaragoza, Carmen; Pujol, Marta Hidalgo; Navarro, Daniel; Anca, Álvaro Valdés de; Prado, Laura Fresno de; Soler, A Nieto; Rodríguez, Francisca Vasco; Trujillo, Roberto Lozoya; Reig, Montserrat; Sánchez, María Mercedes Sanz; Bueno-Lledó, José; Serrano, Salvador Pous; Cuñat, Elena Martí; Giménez, Ernest Bombuy; Mans, Esther; García, Aparicio; Ortega, Elena Ortega; Sebastian, Enric; Hoyuela, Carlos; Marino, Raquel Grajal; Hossain, Lofti Elmalaki; Medina, Raúl; Sánchez, José Daniel; Gimenez, T Ratia; López, Antonio; Díaz, Rosa Ana García; Larrañaga, Itziar

doi:10.1016/j.cireng.2021.06.016

Cited by 8 publications

(16 citation statements)

References 17 publications

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“…However, no additional data was available or provided. Eventually, 8 full-text articles met the inclusion criteria and were included in the qualitative analysis [ 37 – 44 ]. An overview of study characteristics, surgical details and postoperative outcomes is shown in Table 1 .…”

Section: Resultsmentioning

confidence: 99%

“…Techniques described in the full-text papers were onlay mesh repair covering only the lateral part of the stoma (n = 15) [ 39 ], onlay mesh repair with a non-specified technique (n = 20) [ 44 ], relocation (n = 38) [ 37 , 41 ], keyhole technique (n = 29) [ 40 , 42 , 43 ], Sugarbaker repair (n = 10) [ 43 ] and use of a 3D-funnel-shapedmesh (n = 40) [ 38 ]. Additionally, in conference abstracts the keyhole-technique (n = 7) [ 27 ], and 3D-funnel-shaped mesh (n = 13) [ 26 ] were presented.…”

Section: Resultsmentioning

confidence: 99%

“…Two conference abstracts described their technique as ‘intraperitoneal mesh’ and ‘laparoscopic repair’, but did not further specify their technique [ 23 , 25 ]. Approaches used were predominantly open (n = 137) [ 26 , 37 – 41 , 43 , 44 ], laparoscopic (n = 49) [ 23 , 25 , 42 – 44 ], and robot-assisted (n = 13) [ 24 , 27 ]. Mesh placement was performed in all studies, the mesh position was either onlay (n = 60) [ 39 – 41 , 44 ] or intraperitoneally (n = 99) [ 24 – 27 , 37 – 39 , 42 ].…”

Section: Resultsmentioning

confidence: 99%

“…Approaches used were predominantly open (n = 137) [ 26 , 37 – 41 , 43 , 44 ], laparoscopic (n = 49) [ 23 , 25 , 42 – 44 ], and robot-assisted (n = 13) [ 24 , 27 ]. Mesh placement was performed in all studies, the mesh position was either onlay (n = 60) [ 39 – 41 , 44 ] or intraperitoneally (n = 99) [ 24 – 27 , 37 – 39 , 42 ]. Two groups did not specify the mesh position (n = 39) [ 23 , 43 ].…”

Section: Resultsmentioning

confidence: 99%

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Parastomal hernias after cystectomy and ileal conduit urinary diversion: surgical treatment and the use of prophylactic mesh: a systematic review

et al. 2022

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Background Parastomal hernia after ileal conduit urinary diversion is an underestimated and undertreated clinical entity, which heavily impairs patients’ quality of life due to symptoms of pain, leakage, application or skin problems. As for all gastrointestinal stomata the best surgical repair technique has yet to be determined. Thereby, surgery for ileal conduit parastomal hernias poses some specific perioperative challenges. This review aims to give an overview of current evidence on the surgical treatment of parastomal hernia after cystectomy and ileal conduit urinary diversion, and on the use of prophylactic mesh at index surgery in its prevention. Methods A systematic review was performed according to PRISMA-guidelines. The electronic databases Embase, PubMed, Cochrane Library, and Web of Science were searched. Studies were included if they presented postoperative outcomes of patients undergoing surgical treatment of parastomal hernia at the ileal conduit site, irrespective of the technique used. A search was performed to identify additional studies on prophylactic mesh in the prevention of ileal conduit parastomal hernia, that were not identified by the initial search. Results Eight retrospective case-series were included for analysis, reporting different surgical techniques. If reported, highest complication rate was 45%. Recurrence rates varied highly, ranging from 0 to 80%. Notably, lower recurrence rates were reported in studies with shorter follow-up. Overall, available data suggest significant morbidity after the surgical treatment of ileal conduit parastomal hernias. Data from five conference abstracts on the matter were retrieved, and systematically reported. Regarding prophylactic mesh in the prevention of ileal conduit parastomal hernia, 5 communications were identified. All of them used keyhole mesh in a retromuscular position, and reported on favorable results in the mesh group without an increase in mesh-related complications. Conclusion Data on the surgical treatment of ileal conduit parastomal hernias and the use of prophylactic mesh in its prevention is scarce. Given the specific perioperative challenges and the paucity of reported results, more high-quality evidence is needed to determine the optimal treatment of this specific surgical problem. Initial results on the use of prophylactic mesh in the prevention of ileal conduit parastomal hernias seem promising.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Parastomal hernias after cystectomy and ileal conduit urinary diversion: surgical treatment and the use of prophylactic mesh: a systematic review

et al. 2022

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“…One of the most common complications of ostomies is the appearance of a parastomal hernia (PH) after the construction of the stoma. Even though PH is a very frequent problem (with reported incidences as high as 78% 1 or 86% 2 when identified by computed tomography) it is difficult to treat and has a huge impact on the quality of life of patients who suffer from it 3 . In recent years, there has been a striking interest in the prevention of PH with prosthetic meshes.…”

Section: Introductionmentioning

confidence: 99%

Stoma location and Parastomal Hernia. A Virtual Simulation Approach.

Tuset

López-Cano

Fortuny

et al. 2021

Preprint

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An ostomy is a surgical procedure by which an artificial opening in the abdominal wall, known as a stoma, is created. We assessthe effects of stoma location on the abdominal wall mechanics. We perform three–dimensional finite element simulations on ananatomy model which was generated on the basis of medical images. Our simulation methodology is entirely based on opensource software. We consider seventeen different locations for the stoma incision (trephine) and we simulate the mechanicalresponse of the abdominal wall when an intraabdominal pressure as high as 20 kPa is applied. We focus on factors relatedto the risk of parastomal hernia development such as the deformation experienced by the abdominal wall, the stress levelssupported by its tissues and the corresponding level of trephine enlargement.No significant dependence was found between stoma location and the levels of abdominal wall deformations or stress supportedby tissues, except for the case with a stoma located on the linea alba. Trephine perimeter and area respectively increased byas much as 44% and 85%. The level of trephine deformation depends on stoma location with considerably higher trephineenlargements found in stomas laterally located with respect to the rectus abdominis muscle.

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Analysis of recurrence and risk factors in laparoscopic sandwich technique for parastomal hernia repair

Barranquero,

Espert,

Llompart Coll

et al. 2023

Surg Endosc

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Parestomal hernia repair. Prospective observational study based on the Spanish Registry of Incisional Hernia (EVEREG)

Cited by 8 publications

References 17 publications

Parastomal hernias after cystectomy and ileal conduit urinary diversion: surgical treatment and the use of prophylactic mesh: a systematic review

Parastomal hernias after cystectomy and ileal conduit urinary diversion: surgical treatment and the use of prophylactic mesh: a systematic review

Stoma location and Parastomal Hernia. A Virtual Simulation Approach.

Analysis of recurrence and risk factors in laparoscopic sandwich technique for parastomal hernia repair

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