The lateral rectus abdominis positioned stoma (LRAPS) in the construction of end colostomies, loop ileostomies and ileal conduits

Autor:	B M Stephenson
Rok vydání:	2020
Předmět:	medicine.medical_specialty business.industry medicine.medical_treatment Ileal conduits Colostomy Surgery Abdominal wall Ileostomy medicine.anatomical_structure Trephine Stoma (medicine) medicine business Rectus abdominis muscle Abdominal surgery
Zdroj:	Hernia. 25:803-808
ISSN:	1248-9204 1265-4906
DOI:	10.1007/s10029-020-02275-7
Popis:	Stomas are traditionally constructed through the belly of the rectus muscle. Parastomal herniation is common with the use of mesh prophylaxis still deliberated. A novel trephine, the lateral rectus abdominis positioned stoma or LRAPS, that minimises damage to the musculature of the anterior abdominal wall, has been used in the construction of end colostomies, loop ileostomies and ileal conduits. In a cohort of 106 patients with end colostomy, the cumulative rate of parastomal herniation at 1, 2 and 3 years were 6, 10 and 17%, respectively. In 56 patients in whom an ileal conduit was performed, there was no clinical or radiological evidence of parastomal herniation at 1 year. In contrast to a traditional trephine through the belly of the muscle, this technique avoids damage to the rectus abdominis muscle. Early symptomatic parastomal herniation is unusual after LRAPS.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::7eb3942d571d0db46d1a5cf3263ef3da https://doi.org/10.1007/s10029-020-02275-7 Zobrazit plný text záznamu Full text from SpringerLink