How I do it: novel parastomal herniorrhaphy utilizing transversus abdominis release

Eric Pauli, Ryan M. Juza, Joshua S. Winder

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Introduction: Parastomal hernias are a complex surgical problem affecting a large number of patients. Recurrences continue to occur despite various methods of repair. We present a novel method of open parastomal hernia repair with retromuscular mesh reinforcement in a modified Sugarbaker configuration. Methods: A full mildline laparotomy is performed and all adhesions are taken down. We then perform an open parastomal hernia repair by utilizing retromuscular dissection, posterior component separation via transversus abdominis release, and lateralization of the bowel utilizing a modified Sugarbaker mesh configuration within the retromuscular space. We demonstrate this technique in a cadaveric model for illustrative purposes. Discussion: This repair provides the benefits of an open posterior component separation with transversus abdominis release and maintains the biomechanics of a functional abdominal wall, all while simultaneously benefitting from the advantages of mesh reinforcement in a modified Sugarbaker configuration. Our clinical experience with this novel technique to this point has been positive.

Original languageEnglish (US)
Pages (from-to)547-552
Number of pages6
JournalHernia
Volume20
Issue number4
DOIs
StatePublished - Aug 1 2016

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Abdominal Muscles
Herniorrhaphy
Abdominal Wall
Hernia
Biomechanical Phenomena
Laparotomy
Dissection
Recurrence

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Pauli, Eric ; Juza, Ryan M. ; Winder, Joshua S. / How I do it : novel parastomal herniorrhaphy utilizing transversus abdominis release. In: Hernia. 2016 ; Vol. 20, No. 4. pp. 547-552.
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How I do it : novel parastomal herniorrhaphy utilizing transversus abdominis release. / Pauli, Eric; Juza, Ryan M.; Winder, Joshua S.

In: Hernia, Vol. 20, No. 4, 01.08.2016, p. 547-552.

Research output: Contribution to journalArticle

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