Descriptions of Clinical and Surgical Procedures
Open Parastomal Hernia Repair with KeyBaker Mesh Placement Technique
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Manuscript Format: Full Text
Procedure Outline
Table of Contents
- 1. Introduction
- 2. Incision and Exposure
- 3. Reduction of Hernia and Mobilization of Colon
- 4. Ipsilateral Retrorectus Dissection
- 5. Transversus Abdominis Release (TAR)
- 6. Connecting the Retrorectus Planes Around the Stoma
- 7. VY Advancement Flap in the Posterior Sheath and Peritoneum
- 8. TAP Block
- 9. Final Stomal Adjustments
- 10. Contralateral Retrorectus Dissection
- 11. Superior Dissection and Preparation for Mesh
- 12. TAP Block
- 13. Posterior Rectus Sheath Closure
- 14. KeyBaker Mesh Placement: Modified Sugarbaker and Keyhole Techniques
- 15. Drain Placement Through Contralateral Side
- 16. Anterior Rectus Sheath Closure
- 17. Closure
- 18. Post-op Remarks
