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Case Series
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| Parastomal hernia repair with urinary bladder matrix grafts: A case series | ||||||
| Kent C. Sasse1, David L. Warner1, Ellen Ackerman2, Jared Brandt2 | ||||||
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1University of Nevada School of Medicine.
2University of Nevada School of Medicine, PA-C. | ||||||
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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. |
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Abstract
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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. | |
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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 |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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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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