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Repair of complex parastomal hernias

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Abstract

Development of parastomal hernias (PH) is very common after stoma formation and carries a risk of subsequent bowel incarceration, obstruction and strangulation. The management of PH remains a challenge for the colorectal surgeon, and there are currently no standardized guidelines for the treatment of PH. Even more difficult is the management of complex parastomal hernias (CPH). We conducted a review of the literature to identify recent developments in the treatment of CPH, including analysis of the use of synthetic and biologic mesh prostheses, method of mesh placement and surgical approach.

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Conflict of interest

Dr. Stamos is a consultant for Ethicon, Olympus, Gore, NiTi/NovoGI and Adolor/GlaxoSmithKline. Covidien training support has been paid to the University of California, Irvine, for clinical immersion courses for laparoscopic colectomy. Dr. Pigazzi is a consultant for Intuitive Surgical, Cook, Ethicon, Covidien and Cubist. He has received consultancy fees and educational grants paid to the Department of Surgery, University of California at Irvine. Dr. Mills is a consultant for Ethicon Endosurgery. Dr. Carmichael has received educational grant from Ethicon paid to the Department of Surgery, University of California at Irvine. Dr. Hwang and Dr. Hanna have no disclosures.

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Authors and Affiliations

  1. Department of Surgery, Irvine School of Medicine, University of California, Irvine, CA, USA

    G. S. Hwang, M. H. Hanna, J. C. Carmichael, S. D. Mills, A. Pigazzi & M. J. Stamos

  2. Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA

    G. S. Hwang

  3. Department of Surgery, Irvine School of Medicine, University of California, 333 City Blvd. West Suite 850, Orange, CA, 92868, USA

    M. J. Stamos

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  1. G. S. Hwang
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  2. M. H. Hanna
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  3. J. C. Carmichael
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  4. S. D. Mills
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  5. A. Pigazzi
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  6. M. J. Stamos
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Correspondence to M. J. Stamos.

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Hwang, G.S., Hanna, M.H., Carmichael, J.C. et al. Repair of complex parastomal hernias. Tech Coloproctol 19, 127–133 (2015). https://doi.org/10.1007/s10151-015-1293-6

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