THE CONTINUING CHALLENGE OF PARASTOMAL HERNIA : FAILURE OF A NOVEL POLYPROPYLENE MESH REPAIR

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