Apparatus and method for repairing and preventing para-stomal he

Surgery – Truss – Pad

Patent

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Details

623 12, 623 66, 128898, 604 8, 604337, 604175, A61B 1704, A61F 100, A61F 212

Patent

active

048543160

ABSTRACT:
A sheet-like inner member formed of prosthetic mesh has an opening formed therethrough. A tubular member formed of prosthetic mesh has two opposite ends with an opening extending therethrough between its two ends. The inner member is connected to the tubular member at or near one end thereof such that a passage extends through the openings of the two members. The tubular member is adapted to be located in the opening of an abdominal wall of a human inward of the outer skin thereof with the inner member being adapted to be attached to an inner portion of the abdominal wall around the opening thereof inward of the other end of the tubular member. The passage of the device has a size sufficient to receive and support a portion of the gastrointestinal tract. In another embodiment a sheet-like outer member formed of prosthetic mesh and having an opening formed therethrough is connected to the tubular member at or near its other end such that the passage of the device extends through the opening of the outer member. The outer member is adapted to be attached to an outer portion of the abdominal wall around the opening thereof inward of the outer skin. For use in repairing a stomal hernia, the device has a slit or a gap formed through one side thereof whereby it may be located around the gastrointestinal tract and sutured in place without disturbing the stomal bud.

REFERENCES:
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Redo et al, "Gastrostomy with a Prosthesis." Surgery, vol. 61, No. 2, pp. 320-324.
Chaimoff C; Bayer I, "New Procedure for Preventing Paracolostomy Hernia and Prolapse." Israel Journal of Medical Sciences, vol. 20, 1984, pp. 1207-1208.
Sugarbaker, P. H., "Prosthetic Mesh Repair of Large Hernias at the Site of Colonic Stomas." Surg. Gynecol. Obstet., Apr. 1980, 150 (9), pp. 576-578.
Bayer, I., Kyzer, S., and Chaimoff, Ch., "A New Approach to Primary Strengthening of Colostomy with Marlex Mesh to Prevent Paracolostomy Hernia". Surg. Gynecol. Obstet., Dec. 1986, 163 (6), pp. 579-580.
Abdu, Rashid A., "Repair of Paracolostomy Hernias with Marlex Mesh". Dis Colon Rectum., Sep. 1982, 25 (6), pp. 529-531.

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