How I do it: parastomal hernia repair and ventral post-incisional hernia repair using PCS/TAR. A case report

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COD: 02_2020_13_3242 Categorie: , ,

Emil Moiș, Florin Graur, Cosmin Lisencu, Luminița Furcea, Sebastian Rațiu, Ana-Maria Ciurdorean, Radu Elisei, Nadim Al Hajjar

Ann. Ital. Chir., 2020 91, 2: 233

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We present a medical case of a 61 year-old male patient who reported to the outpatient clinic with a parastomal hernia of 10 cm in diameter and a postincisional midline hernia of 15 cm in diameter. We emphasized that the patient had undergone surgery 4 years before for a rectal adenocarcinoma, in which we performed an abdominal perineal resection of the rectum with end colostomy. At the time of admission, there were no imagistic signs of local or distant relapse. The surgical technique used aimed to repair both of the abdominal defects by placing a large polypropylene mesh (30×30 cm) spanning into the retro-rectus space in a sublay position. On the colostomy side, the mesh is extended up to the median axillary line by performing TAR (transversus abdominis release), according to the technique described by Pauli, thus the colostomy side is not modied. The post-operatory evolution was favourable, with the return of intestinal transit for faeces and gas on the second post-operatory day. The patient was discharged on the 7th postoperatory day, after the suppression of the over-prosthetic drainage.