Abstract
Parastomal hernia formation and ostomy prolapse are relatively common complications of intestinal ostomy construction. Underlay mesh placement with lateralization of the stoma limb appears to be the method of repair with the lowest recurrence rate. Prophylaxis of new stomas with mesh is advocated by many authors. We report the case of an 81-year-old man with chronic steroid-dependent COPD who presented to the emergency department with strangulated small bowel evisceration 9 days following completion abdominal colectomy, and creation of an end ileostomy reinforced with intraperitoneal mesh. This rare complication was related to this patient’s risk factors for poor healing including poor nutrition, age, chronic COPD and coughing and steroid dependence with immunosuppression.
References
Shabbir J, Chaudhary BN, Dawson R (2012) A systematic review on the use of prophylactic mesh during primary stoma formation to prevent parastomal hernia formation. Colorectal Dis 14(8):931–936
Carne PW, Robertson GM, Frizelle FA (2003) Parastomal hernia. Br J Surg 90(7):784–793
Hansson BM, Slater NJ, van der Velden AS et al (2012) Surgical techniques for parastomal hernia repair: a systematic review of the literature. Ann Surg 255(4):685–695
Tam KW, Wei PL, Kuo LJ, Wu CH (2010) Systematic review of the use of a mesh to prevent parastomal hernia. World J Surg 34(11):2723–2729
Israelsson LA (2008) Parastomal hernias. Surg Clin North Am 88(1):113–125 ix
Rosin JD, Bonardi RA (1977) Paracolostomy hernia repair with marlex mesh: a new technique. Dis Colon Rectum 20(4):299–302
Gogenur I, Mortensen J, Harvald T, Rosenberg J, Fischer A (2006) Prevention of parastomal hernia by placement of a polypropylene mesh at the primary operation. Dis Colon Rectum 49(8):1131–1135
Vijayasekar C, Marimuthu K, Jadhav V, Mathew G (2008) Parastomal hernia: is prevention better than cure? Use of preperitoneal polypropylene mesh at the time of stoma formation. Tech Coloproctol 12(4):309–313
Kelly ME, Behrman SW (2002) The safety and efficacy of prosthetic hernia repair in clean-contaminated and contaminated wounds. Am Surg. 68(6):524–528 (discussion 528–529)
Janes A, Cengiz Y, Israelsson LA (2010) Experiences with a prophylactic mesh in 93 consecutive ostomies. World J Surg 34(7):1637–1640
Sugarbaker PH (1985) Peritoneal approach to prosthetic mesh repair of paraostomy hernias. Ann Surg 201(3):344–346
Timmermans L, Deerenberg EB,Lamme B, et al (2013) Parastomal hernia is an independent risk factor for incisional hernia in patients with end colostomy. Surgery pii: S0039-6060(13)00336-X
Stelzner S, Hellmich G, Ludwig K (2004) Repair of paracolostomy hernias with a prosthetic mesh in the intraperitoneal onlay position: modified Sugarbaker technique. Dis Colon Rectum 47(2):185–191
Jansen PL, Mertens Pr P, Klinge U, Schumpelick V (2004) The biology of hernia formation. Surgery 136(1):1–4
Cheung MT, Chia NH, Chiu WY (2001) Surgical treatment of parastomal hernia complicating sigmoid colostomies. Dis Colon Rectum 44(2):266–270
Rubin MS, Schoetz DJ Jr, Matthews JB (1994) Parastomal hernia is stoma relocation superior to fascial repair? Arch Surg 129(4):413–418 (discussion 418–419)
Wijeyekoon SP, Gurusamy K, El-Gendy K, Chan CL (2010) Prevention of parastomal herniation with biologic/composite prosthetic mesh: a systematic review and meta-analysis of randomized controlled trials. J Am Coll Surg 211(5):637–645
Serra-Aracil X, Bombardo-Junca J, Moreno-Matias J et al (2009) Randomized, controlled, prospective trial of the use of a mesh to prevent parastomal hernia. Ann Surg 249(4):583–587
Hammond TM, Huang A, Prosser K, Frye JN, Williams NS (2008) Parastomal hernia prevention using a novel collagen implant: a randomized controlled phase 1 study. Hernia 12(5):475–481
Hansson BM (2013) Parastomal hernia: treatment and prevention 2013; where do we go from here? Colorectal Dis 15(12):1467–1470
Hotouras A, Murphy J, Thaha M, Chan CL (2013) The persistent challenge of parastomal herniation: a review of the literature and future developments. Colorectal Dis 15(5):e202–e214
Slater NJ, Hansson BM, Buyne OR et al (2011) Repair of parastomal hernias with biologic grafts: a systematic review. J Gastrointest Surg 15(7):1252–1258
Williams NS, Nair R, Bhan C (2011) Stapled mesh stoma reinforcement technique (SMART). A procedure to prevent parastomal herniation. Ann R Coll Surg Engl 93(2):169
Brandsma HT, Hansson BM, V-Haaren-de Haan H, Aufenacker TJ et al (2012) Prevention of parastomal hernia with a prosthetic mesh in patients undergoing permanent end-colostomy; the PREVENT trial: study protocol for a multicenter randomized controlled trial. Trials 13:226
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E.R. declares no conflict of interest, T.C. declares no conflict of interest, B.O. declares no conflict of interest, D.P. declares no conflict of interest.
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Ramly, E.P., Crosslin, T., Orkin, B. et al. Strangulated ileostomy evisceration following lateralizing mesh repair of parastomal hernia. Hernia 20, 327–330 (2016). https://doi.org/10.1007/s10029-014-1259-z
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DOI: https://doi.org/10.1007/s10029-014-1259-z