heard of collagen implants to stop hernia in stoma reversal ?????

pete43lost_at_sea
pete43lost_at_sea Member Posts: 3,900 Member
edited March 2011 in Colorectal Cancer #1
Hi everyone,

Anyone heard of this ???

Is it common.

My surgeon gave me the impression this is not widely done but will do it for me.

I beleive he is as good as he says he is.

I mentioned this today at bowel cancer support group and noone had heard of it, not even the facilitator whose been running the group for 7 years and who has a vast wealth of knowledge and advice re colorectal cancer.

for details checkout, it maybe worht asking your surgeon what he beleives
http://www.springerlink.com/content/r77262u36v6505h1/
http://www.springerlink.com/content/f742687715812335/

any comments ??????

here is a good solution for us avoiding hernia.
now I hear of heaps of hernias here. Maybe if its not widely used then it indicates
how slow it is for good research to filter into widespread medical practice.

Pete

Comments

  • Buckwirth
    Buckwirth Member Posts: 1,258 Member
    #2
    Pete,
    What is a "defunctioning" stoma?

    Check out the discussion on the esophageal board about laproscopic surgery. There is no question that it can take years for new surgical techniques to make it into the mainstream.
  • Lovekitties
    Lovekitties Member Posts: 3,364 Member
    #3
    Pretty small study groups
    In the articles you referenced, these seem like pretty small study groups.

    If you look up collagen implants on net it mentions there are two types, bovine and human. It also mentions that some patients are not good candidates due to reactions. This info came article about smaller scale implants for wrinkles.

    It also mentioned that this is not a perm fix as the collagen breaksdown anywhere from 6 months to 2 years.

    I have also heard recently on tv that it used to be that cadaver skin was used instead of mesh to help prevent hernias and that now there is some big question regarding its causing additional problems.

    Guess it doesn't hurt to explore the details so you can make an informed choice.

    Marie who loves kitties
  • pete43lost_at_sea
    pete43lost_at_sea Member Posts: 3,900 Member
    #4
    Buckwirth said:

    Pete,
    What is a "defunctioning" stoma?

    Check out the discussion on the esophageal board about laproscopic surgery. There is no question that it can take years for new surgical techniques to make it into the mainstream.

    presume it refers to a stome that being reversed
    hi blake,

    I really wanted to see if any had this procedure here, so I'll be the first. yipee!!!

    W can ask, if surgeons are aware of advances that are worth it.

    I am grateful my surgeon is ahead of the game , I don't want hernias.

    My goal of sharing is to make newbies like me more aware of what I presume is new best practice.

    Its an easy question to ask your surgeon. to be honest it indicated how up to date

    you surgeon is.

    I am happy to notice that surgeon "darren gold" doing what he thinks best forme and this indicates a detail focus on my quality of life after the op.

    cheers,

    Pete

    ps been away so did not answer earlier.
  • pete43lost_at_sea
    pete43lost_at_sea Member Posts: 3,900 Member
    #5
    Lovekitties said:

    Pretty small study groups
    In the articles you referenced, these seem like pretty small study groups.

    If you look up collagen implants on net it mentions there are two types, bovine and human. It also mentions that some patients are not good candidates due to reactions. This info came article about smaller scale implants for wrinkles.

    It also mentioned that this is not a perm fix as the collagen breaksdown anywhere from 6 months to 2 years.

    I have also heard recently on tv that it used to be that cadaver skin was used instead of mesh to help prevent hernias and that now there is some big question regarding its causing additional problems.

    Guess it doesn't hurt to explore the details so you can make an informed choice.

    Marie who loves kitties

    explore the details
    Hi maria who loves kitties,

    thanks for the comments, I'll ask my surgeon. He did not say it would only last for 2 years or any other caveats. from memory the trial looked at hernias up to 2 or 3 years and that the trial groups had none over that period.

    I am grateful to have this option and a surgeon who is aware of it, of course its good to have as much detail as possible. I really do discuss whats happening with the surgeon.

    No else commented , so this must be pretty new. I'll post some comments from my surgeon of my experience.

    cheers,

    Pete
  • Buckwirth
    Buckwirth Member Posts: 1,258 Member
    #6
    pete43lost_at_sea said:

    presume it refers to a stome that being reversed
    hi blake,

    I really wanted to see if any had this procedure here, so I'll be the first. yipee!!!

    W can ask, if surgeons are aware of advances that are worth it.

    I am grateful my surgeon is ahead of the game , I don't want hernias.

    My goal of sharing is to make newbies like me more aware of what I presume is new best practice.

    Its an easy question to ask your surgeon. to be honest it indicated how up to date

    you surgeon is.

    I am happy to notice that surgeon "darren gold" doing what he thinks best forme and this indicates a detail focus on my quality of life after the op.

    cheers,

    Pete

    ps been away so did not answer earlier.

    Wha?
    "W can ask, if surgeons are aware of advances that are worth it"

    ?

    Thanks for the answer about reversal. Since mine is permanent, no purpose in asking anything about it.
  • pete43lost_at_sea
    pete43lost_at_sea Member Posts: 3,900 Member
    #7
    Buckwirth said:

    Wha?
    "W can ask, if surgeons are aware of advances that are worth it"

    ?

    Thanks for the answer about reversal. Since mine is permanent, no purpose in asking anything about it.

    one reason to ask
    blake,

    one purpose, it tests how professionally updated he is ?

    its every patients right to be able to ask questions to our doctors ?

    like "i heard down the pub that colagen might help reduced hernia risk when i get my stoma reversal, what do you think ?"

    this board could at least improve awareness of new advances, we could educate surgeons and even oncs.

    it would be so great to avoid a single hernia operation.

    cheers,

    pete
  • John23
    John23 Member Posts: 2,122 Member
    #8
    pete43lost_at_sea said:

    explore the details
    Hi maria who loves kitties,

    thanks for the comments, I'll ask my surgeon. He did not say it would only last for 2 years or any other caveats. from memory the trial looked at hernias up to 2 or 3 years and that the trial groups had none over that period.

    I am grateful to have this option and a surgeon who is aware of it, of course its good to have as much detail as possible. I really do discuss whats happening with the surgeon.

    No else commented , so this must be pretty new. I'll post some comments from my surgeon of my experience.

    cheers,

    Pete

    Pete -
    They used mesh to cover my surgical wound back in 2006, and
    it didn't preent hernias in other sections. It did help the wound
    area, however.

    This time around, they used the mesh, but the graft didn't take.
    He was going to use the bio-grafting material as packing also,
    to help prevent adhesions, but there were so many complications
    that I'm not sure if he used it or not (I'll have to ask).

    You have to keep in mind Pete, that regardless of what procedure
    they use, hernias and adhesions are a given; they are to be expected.

    It took from 2006 to 2010 for any adhesions or hernias to
    give me a problem. It wasn't until September of 2010 that
    they reared their ugly heads, causing partial obstructions.

    There's a lot written about hernias and adhesions after abdominal
    surgery, and not much of it will relieve your anxiety.

    http://www.hernia.org/methodsafter.html

    Google results

    You'll do fine.

    Best of health,

    John
  • pete43lost_at_sea
    pete43lost_at_sea Member Posts: 3,900 Member
    #9
    John23 said:

    Pete -
    They used mesh to cover my surgical wound back in 2006, and
    it didn't preent hernias in other sections. It did help the wound
    area, however.

    This time around, they used the mesh, but the graft didn't take.
    He was going to use the bio-grafting material as packing also,
    to help prevent adhesions, but there were so many complications
    that I'm not sure if he used it or not (I'll have to ask).

    You have to keep in mind Pete, that regardless of what procedure
    they use, hernias and adhesions are a given; they are to be expected.

    It took from 2006 to 2010 for any adhesions or hernias to
    give me a problem. It wasn't until September of 2010 that
    they reared their ugly heads, causing partial obstructions.

    There's a lot written about hernias and adhesions after abdominal
    surgery, and not much of it will relieve your anxiety.

    http://www.hernia.org/methodsafter.html

    Google results

    You'll do fine.

    Best of health,

    John

    hi john,
    interesting reading, seems like the mesh is different to the collagen, will ask my surgeon.

    even though i am having my reversal with collagen on 6th may, my real issue was how quickly improvements filter through the medical system globaly.

    thanks,pete

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