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Repair of parastomal hernias with the intraperitoneal funnel meshes IPST-R and IPST.
- Source :
-
Scientific reports [Sci Rep] 2024 Aug 09; Vol. 14 (1), pp. 18560. Date of Electronic Publication: 2024 Aug 09. - Publication Year :
- 2024
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Abstract
- The treatment of parastomal hernias (PSH) represents a major challenge in hernia surgery. Various techniques have been reported with different outcomes in terms of complication and recurrence rates. The aim of this study is to share our initial experience with the implantation of the DynaMesh-IPST-R and -IPST, intraperitoneal funnel meshes made of polyvinylidene fluoride (PVDF). This is a retrospective observational cohort study of patients treated for PSH between March 2019 and April 2023 using the chimney technique with the intraperitoneal funnel meshes IPST-R or IPST. The primary outcome was recurrence and the secondary outcomes were intraoperative and postoperative complications, the latter assessed using the Clavien-Dindo classification. A total of 21 consecutive patients were treated with intraperitoneal PVDF funnel meshes, 17 with IPST-R and 4 with IPST. There were no intraoperative complications. Overall, no complications occurred in 61.9% (n = 12) of the patients. Major postoperative complications (defined as Clavien-Dindo ≥ 3b) were noted in four cases (19.0%). During the mean follow-up period of 21.6 (range 4.8-37.5) months, one patient (4.8%) had a recurrence. In conclusion, for the treatment of parastomal hernias, the implantation of IPST-R or IPST mesh has proven to be efficient, easy to handle, and very safe. In particular, the low recurrence rate of 4.8%, which is in line with the current literature, is convincing. However, a larger number of patients would improve the validity of the results.<br /> (© 2024. The Author(s).)
- Subjects :
- Humans
Male
Female
Middle Aged
Aged
Retrospective Studies
Treatment Outcome
Polyvinyls
Adult
Recurrence
Aged, 80 and over
Incisional Hernia surgery
Incisional Hernia etiology
Hernia, Ventral surgery
Hernia, Ventral etiology
Fluorocarbon Polymers
Surgical Mesh adverse effects
Herniorrhaphy methods
Herniorrhaphy adverse effects
Herniorrhaphy instrumentation
Postoperative Complications etiology
Subjects
Details
- Language :
- English
- ISSN :
- 2045-2322
- Volume :
- 14
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Scientific reports
- Publication Type :
- Academic Journal
- Accession number :
- 39122869
- Full Text :
- https://doi.org/10.1038/s41598-024-69667-y