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Parastomal Hernia Parastomal Hernia Repair with Parietex™ Repair with Parietex™ Parastomal MeshParastomal Mesh
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Computer-Based Training
Copyright © 2009 Covidien. All rights reservedParastomal Hernia Mesh Computer-Based Training
Copyright © 2009 Covidien. All rights reserved
Click on the “Course Navigation” tab (above) to familiarize yourself with the many ways you can move throughout this course and access additional media along the way.
Course Introduction
Course Navigation
Questions and other exercises are included throughout the program to help assess your familiarity with the subject matter.
Copyright © 2009 Covidien. All rights reserved
Course Introduction
Course DescriptionWelcome to the online training course for Parastomal Hernia Repair with Parietex™ Parastomal Mesh.
In this lesson you will learn about the different types of ostomys, the anatomy of parastomal hernias, the possible types of repair, and the unique benefits that Parietex™ Parastomal Mesh brings to these outcomes.
At the end of this lesson you will understand the challenges of a successful parastomal hernia repair and how Parietex™ Parastomal Mesh overcomes these challenges in order to achieve an optimal result.
Copyright © 2009 Covidien. All rights reserved
Course Introduction
Sections
What is a Stoma?Definition of a HerniaDescription and History of Parastomal HerniasApplying Mesh for Parastomal Hernia Repair Parietex™ Parastomal Mesh for Parastomal Hernia Repair Final Exam
Copyright © 2009 Covidien. All rights reservedExplain why surgeons may have to create stoma
ObjectivesUpon completion of this section, you should be able to:
Identify the different types of stoma
Section 1
What is a Stoma?
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During some surgical procedures involving the bowels, surgeons may have to create a stoma in order to release the load on the bowels either for a limited period of time (temporary ostomy) or permanently (definitive ostomy).
What is a Stoma?
Introduction
A colostomy might be performed due to:- Cancer- Diverticulitis- Obstructed Anus - Hirschsprung disease - Trauma to the affected area
An ileostomy might be performed due to:- Ulcerative Colitis, - Crohn’s disease- Polyps
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Colostomy: stoma involving the colon
Different Types of Stoma:
What is a Stoma?
Ileostomy: stoma involving the ileum
The fecal material drains into a bag worn on the abdomen
A. Sigmoid ColostomyB. Descending ColostomyC. TransverseD. Ascending Colostomy
AA BB
CC DD
Copyright © 2009 Covidien. All rights reservedDefine parastomal hernia
ObjectivesUpon completion of this section, you should be able to:
Define hernia
Section 2
Definition of a Hernia
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Hernia:Protrusion or projection of an organ or part of an organ through the wall of the cavity that normally contains it.
Parastomal hernia:An incisional hernia at the site or in the vicinity of a stoma.
Herniation around a colostomy site has been long recognized as a complication of this surgery. *Approximately 20-30% of patients with a stoma will present with a herniation at the site.
Factors: - Fluctuating intra-abdominal pressure - Aging - Weight change and loss of abdominal muscle tone - Obesity - Malnutrition - Chronic cough
http://www.fascrs.org/physicians/education/core_subjects/2003/ostomies_stomal_therapy/
Definition of a Hernia
Definitions
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