Diseases of the Colon & Rectum

Skip Navigation LinksHome > September 2007 - Volume 50 - Issue 9 > Laparoscopic Repair of Parastomal Hernia Using a Porcine Der...
Diseases of the Colon & Rectum:
doi: 10.1007/s10350-007-0275-9
Multimedia Article: PDF Only

Laparoscopic Repair of Parastomal Hernia Using a Porcine Dermal Collagen (Permacol(TM)) Implant.

Inan, Ihsan M.D.; Gervaz, Pascal M.D.; Hagen, Monica M.D.; Morel, Philippe

Collapse Box


Background: Surgical repair of parastomal hernias is usually performed through a laparotomy (stoma translocation) or a peristomal incision (mesh repair). Laparoscopic approach may minimize the risks of mesh infection and, thus, represents an attractive alternative. Permacol(TM) (Tissue Science Laboratories plc, Aldershot, Hampshire, U.K.) is a new biomaterial implant, which combines the strength and biocompatibility.

Technique: Case 1: A 67-year-old patient presented with paracolostomal hernia causing discomfort and intermittent obstructive episodes, 12 months after a proctectomy for severe radiation proctitis.

Case 2: A 74-year-old patient presented with a symptomatic paracolostomal hernia 18 years after abdominoperineal amputation.

Results: Both procedures took less than 120 minutes. Patients were started on a liquid and solid diet on postoperative Day 1 and discharged to home on the sixth and seventh postoperative days. There was no evidence of hernia recurrence or mesh-related complication at the time of last follow-up: nine months and three months postoperatively.

Conclusions: Compared with the traditional open technique, the technique described has two potential benefits: 1) the laparoscopic approach provides a means to avoid operating in a contaminated field and may reduce the risks of mesh infection; and 2) the use of a biologic graft may minimize the incidence of synthetic mesh-related complications, such as erosion into viscera and fistula. The use of biologic implants in this indication seems promising and deserves further evaluation.

(C) The ASCRS 2007


Article Tools


Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.