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Prosthetic Mesh in Parastomal Hernia Prevention. Laparoscopic Approach.

López-Cano, Manuel M.D., Ph.D.; Lozoya-Trujillo, Roberto M.D.; Espin-Basany, Eloy M.D., Ph.D.

Section Editor(s): Hull, Tracy M.D., Editor

Diseases of the Colon & Rectum: May 2009 - Volume 52 - Issue 5 - pp 1006-1007
doi: 10.1007/DCR.0b013e31819a6a58
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ABSTRACT: The use of a sublay mesh in open surgery has been probed to be an efficient strategy for the prevention of parastomal hernia. Based on these previous reports, placing a composite mesh (polypropylene/cellulose) in an intraperitoneal fashion seems to be a good technique when a laparoscopic approach is performed. This technique is easy to perform. Mesh is kept in place with the help of tackers, normal intra-abdominal pressure, and the colon itself. We report the description of a laparoscopic technique for placing an intraperitoneal mesh for the prevention of a parastomal hernia.

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Colorectal Surgery Unit, Hospital Valle de Hebron, Autonomous University of Barcelona, Barcelona, Spain

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Address of correspondence: Manuel López-Cano, M.D., Ph.D., Colorectal Surgery Unit, Hospital Valle de Hebron, Paseo Valle de Hebron 119-129, Barcelona 08035, Spain. E-mail: manulopez@vhebron.net

© The ASCRS 2009