n South African Journal of Surgery - Successful medical management of postoperative parastomal hernia prosthesis infection after Hartmann restoration : letters to the editor

Volume 48, Issue 4
  • ISSN : 0038-2361
  • E-ISSN: 2078-5151



A 52-year-old woman underwent Hartmann's procedure for a perforated diverticula. During the 3 months before restoration of intestinal continuity, the patient's weight increased remarkably and a parastomal hernia developed. When Hartmann's reversal was performed, the edges of abdominal wall in which the colostomy had been placed were not suturable, so we placed polyester mesh on the stomal area. The mesh was fixed above the aponeurosis, with a drain placed at the mesh site. Four days after the procedure, the patient developed fever and abdominal pain and pus started to drip from the skin suture.

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