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A D V E R T I S E M E N T
A D V E R T I S E M E N T
A 56-year-old man presented with a fifth recurrence of a herniation around an ilial conduit stoma site. The abdomen was opened through a midline incision and the stoma site visualized. Two non-absorbable braided 2-0 sutures (shown) were placed to begin to narrow the fascial defect.
A D V E R T I S E M E N T
The neck of the ilial loop was dissected circumferentially at the fascial level and encircled with a Penrose drain.
Notes:
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A D V E R T I S E M E N T
The fascial defect was bridged with two 4x7 cm patches of acellular human tissue matrix (see discussion). The matrix was tacked to the transversalis fascia with 2-0 polypropylene. The strips were sutured together, leaving a snug ring around the ilial loop.
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This page was last modified on 3/29/2004.
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