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Laparoscopic stoma ...
Laparoscopic stoma formation with a prophylactic prosthetic mesh.
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Janson, A R (författare)
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- Jänes, Arthur, 1970- (författare)
- Umeå universitet,Kirurgi
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- Israelsson, Leif A (författare)
- Umeå universitet,Kirurgi
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(creator_code:org_t)
- 2010-05-23
- 2010
- Engelska.
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Ingår i: Hernia. - : Springer. - 1265-4906 .- 1248-9204. ; 14:5, s. 495-498
- Relaterad länk:
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https://urn.kb.se/re...
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visa fler...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- BACKGROUND: One year after stoma formation with an open technique, the rate of parastomal hernia is almost 50%. The herniation rate can be reduced to 10% with the use of a prophylactic mesh in a sublay position. For stomas formed with a laparoscopic technique, a surgical method with the use of prophylactic mesh should be sought. METHODS: Patients with a sigmoidostomy created with a laparoscopic technique were provided with a prophylactic large-pore, low-weight mesh in a sublay position. Follow-up examination was carried out after at least 12 months. RESULTS: Between March 2003 and May 2007, a sigmoidostomy was created in 25 patients. The patients' mean age was 65 years (range 31-89), the mean body mass index was 26 (range 21-32) and 15 were female. One stoma necrosis and two minor wound infections occurred. Parastomal hernia was present in 3 of 20 patients (15%) available for follow-up examination after 11-31 months (mean 19). No fistulas or strictures had developed. No mesh infection was noted and no mesh was removed. CONCLUSION: In laparoscopic stoma formation, a prophylactic large-pore, low-weight mesh in a sublay position is an easy and safe procedure associated with a low rate of parastomal hernia.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Nyckelord
- Laparoscopic stoma
- Sigmoid stoma
- Parastomal hernia
- Ventral hernia
- Stoma complications
- Prosthetic mesh
- Mesh complications
- Surgery
- Kirurgi
- Surgery
- kirurgi
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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