A Promising New Device for the Prevention of Parastomal Hernia

作者：Hoffmann Henry^*; Oertli Daniel; Soysal Savas; Zingg Urs; Hahnloser Dieter; Kirchhoff Philipp

来源：Surgical Innovation, 2015, 22(3): 283-284.

DOI：10.1177/1553350614560270

• biomedical engineering
• colorectal surgery
• hernias
• surgical oncology

Parastomal hernia (PSH) is the most frequent long-term stoma complication with serious negative effects on quality of life. Surgical revision is often required and has a substantial morbidity and recurrence rate. The development of PSH requires revisional surgery with a substantial perioperative morbidity and high failure rate in the long-term follow-up. Prophylactic parastomal mesh insertion during stoma creation has the potential to reduce the rate of PSH, but carries the risk of early and late mesh-related complications such as infection, fibrosis, mesh shrinkage, and/or bowel erosion. We developed a new stomaplasty ring (KORING), which is easy to implant, avoids potential mesh-related complications, and has a high potential of long-term prevention of PSH. Here we describe the technique and the first use.

• 出版日期2015-6