Parastomal hernia repair

Surg Clin North Am. 2013 Oct;93(5):1185-98. doi: 10.1016/j.suc.2013.06.011. Epub 2013 Jul 24.

Abstract

Occurrence of parastomal hernia is considered a near inevitable consequence of stoma formation, making their management a common clinical dilemma. This article reviews the outcomes of different surgical approaches for hernia repair and describes in detail the laparoscopic Sugarbaker technique, which has been shown to have lower recurrence rates than other methods. Also reviewed is the current literature on the impact of prophylactic mesh placement during ostomy formation.

Keywords: Keyhole technique; Laparoscopy; Outcomes; Parastomal hernia; Sugarbaker technique.

Publication types

  • Review

MeSH terms

  • Enterostomy*
  • Hernia, Ventral / etiology
  • Hernia, Ventral / prevention & control
  • Hernia, Ventral / surgery*
  • Herniorrhaphy / instrumentation
  • Herniorrhaphy / methods*
  • Humans
  • Laparoscopy / methods
  • Postoperative Complications / prevention & control
  • Postoperative Complications / surgery*
  • Surgical Mesh