C Palanivelu, MS, FACS, FRCSEdDSc, R Parthasarathi, MS, FMAS,S Rajapandian, MS, FRCS, FMAS, P Senthilnathan, MS, FMAS, DNB, Darshan Nayak, MS, Samrat Jankar, MS, P Praveen Raj, MS, FMAS. GEM Hospital & Research Centre
Abstarct: Laparoscopic parastomal hernia repair has been reported in literature which is associated with low morbidity and acceptable recurrence. The objective of the present study is to present our experience over past 15 years of our modified keyhole plus repair technique for parastomal hernia.
Material & Methods: A retrospective review of last 15 years data of patients who underwent laparoscopic modified keyhole plus repair for parastomal hernia.
key steps:
Removal of hernia sac
Closure of the defect with non-absorbable suture
Proper fixation of composite Mesh with a central keyhole slit
Mesh fixation with both trans fascial sutures and tackers
Results: Total 14 symptomatic parastomal hernia patients underwent this procedure among which 10 were colostomy hernias, 1 was end ileostomy hernia, 2 cases were post ileal conduit and 1 was suprapubic cystostomy. 2 patients underwent additional IPOM for ventral hernia. 8 patients had BMI > 30 kg/m2. The mean operative time was 108 minutes. Mean hospital stay was 3 days. Median follow up was 2 years. Seroma in 4 patients. There was no mesh infection. 1 patient presented with asymptomatic recurrence after 3 year of surgery.
Conclusion: Laparoscopic key hole plus repair for parastomal hernia seems safe, effective and feasible with good cosmetic and functional outcome with acceptable recurrence.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80025
Program Number: P585
Presentation Session: Poster (Non CME)
Presentation Type: Poster
