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. 1998 May;80(3):184–187.

The continuing challenge of parastomal hernia: failure of a novel polypropylene mesh repair.

G Morris-Stiff 1, L E Hughes 1
PMCID: PMC2503031  PMID: 9682640

Abstract

In an attempt to reduce the high recurrence rate after repair of parastomal hernia, a technique was devised in which non-absorbable mesh was used to provide a permanent closure of the gap between the emerging bowel and abdominal wall. Seven patients were treated during the period 1990-1992. Five-year follow-up has given disappointing results, with recurrent hernia in 29% of cases and serious complications, including obstruction and dense adhesions to the intra-abdominal mesh, in 57% and a mesh-related abscess in 15% of cases. This study highlights a dual problem--failure of a carefully sutured mesh to maintain an occlusive position, and complications of the mesh itself. The poor results obtained with this technique together with the disappointing results with other methods described in the literature confirms that parastomal hernia presents a continuing challenge.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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