Endoscopic preperitoneal parastomal hernia repair (ePauli repair) : an observational study.

ABSTRACT:

Background

Aspiring endoscopic surgery with extraperitoneal mesh application to avoid adhesion and pain from mesh fixation, we adopted the principles of the open Pauli repair of parastomal hernia (PSH). We have termed the procedure ePauli repair. The aim of this account is to inform about feasibility and adverse reactions.

Methods

Patients with PSH selected for ePauli repair with transversus abdominis release (TAR) were enrolled in a prospective observational study. Patients were operated with laparoscopic or robotic assistance and endoscopic Rives-Stoppa repair in cases with concomitant midline hernia. Coated meshes or a buffer mesh was used in the retromuscular pocket for this modification of the Sugarbaker principle.

Results

Fifteen patients were included: six pati

SUBMITTER: Lambrecht JR 

PROVIDER: S-EPMC8292263 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature