International Journal of Case Reports and Images - IJCRI - Case Reports, Case Series, Case in Images, Clinical Images

   
Case Series
 
Parastomal hernia repair with urinary bladder matrix grafts: A case series
Kent C. Sasse1, David L. Warner1, Ellen Ackerman2, Jared Brandt2
1University of Nevada School of Medicine.
2University of Nevada School of Medicine, PA-C.

doi:10.5348/ijcri-201604-CS-10065

Address correspondence to:
David Warner
BS, University of Nevada School of Medicine
75 Pringle Way
Suite 804, Reno
NV 89502

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How to cite this article
Sasse KC, Warner DL, Ackerman E, Brandt J. Parastomal hernia repair with urinary bladder matrix grafts: A case series. Int J Case Rep Images 2016;7(2):85–91.


Abstract
Introduction: Parastomal hernias are a common complication of ileostomy and colostomy creation. Most are managed non-operatively, but some require surgery because of progressive symptoms and obstruction. Porcine urinary bladder matrix (UBM), utilized in many hernia applications, serves as an effective biologically-derived extracellular matrix scaffold and facilitates a favorable remodeling response with restoration of site-appropriate tissue.
Case Series: Herein, eight cases are presented which describe four different techniques of parastomal hernia repair utilizing porcine UBM. In four cases, repair was performed through open laparotomy; the remaining four were performed laparoscopically. All repairs were reinforced with porcine UBM. Median duration of follow-up is 23 months.
Conclusion: Surgeons may safely employ open and laparoscopic techniques for successful repair of parastomal hernias. In this series of eight cases, repairs with porcine UBM devices have proven durable at two years of follow-up and may serve as an alternative to synthetic mesh.

Keywords: Hernia repair, Parastomal hernia, Surgery, Urinary bladder matrix


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Author Contributions:
Kent C. Sasse – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
David L. Warner – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Ellen Ackerman – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Jared Brandt – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Kent C. Sasse et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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