Surgery of recurrent parastomal hernia: direct repair or relocation?

Riansuwan, Woramin; Hull, Tracy L.; Millán, Mónica; Hammel, Jeff

doi:10.1111/j.1463-1318.2009.01868.x

Cited by 46 publications

(26 citation statements)

References 19 publications

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“…While technically simple with low early complication rates, local repair without mesh has had high recurrence rates ranging from 10 to 76% [52]. Suture repair for a recurrent PSH has even worse results with recurrence rates as high as 100% [52,53]. This technique should be reserved only for patients with small defects in whom there is a strong desire to avoid prosthetic mesh or more extensive surgery.…”

Section: Simple Fascial Repairmentioning

confidence: 99%

Parastomal Hernia: A Growing Problem with New Solutions

et al. 2014

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Parastomal hernia is one of the most common complications following stoma creation and its prevalence is only expected to increase. It often leads to a decrease in the quality of life for patients due to discomfort, pain, frequent ostomy appliance leakage, or peristomal skin irritation and can result in significantly increased healthcare costs. Surgical technique for parastomal hernia repair has evolved significantly over the past two decades with the introduction of new types of mesh and laparoscopic procedures. The use of prophylactic mesh in high-risk patients at the time of stoma creation has gained attention in lieu of several promising studies that have emerged in the recent days. This review will attempt to demonstrate the burden that parastomal hernias present to patients, surgeons, and the healthcare system and also provide an overview of the current management and surgical techniques at both preventing and treating parastomal hernias. i 2014 S. Karger AG, Basel

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Section: Simple Fascial Repairmentioning

confidence: 99%

Parastomal Hernia: A Growing Problem with New Solutions

et al. 2014

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“…Moreover, this method may require a laparotomy, which may further increase the risk of incisional/parastomal hernia (68 %) [6], overall morbidity and prolonged hospital stay [14]. Several studies show stoma relocation with laparotomy is associated with higher recurrence and morbidity than without laparotomy (9.1 vs. 18.8 %) [8,12,15]. Stoma relocation to the opposite side of the abdomen is associated with lower recurrence (38 vs. 80 %) in a longterm study [15].…”

Section: Stoma Relocationmentioning

confidence: 99%

“…Several studies show stoma relocation with laparotomy is associated with higher recurrence and morbidity than without laparotomy (9.1 vs. 18.8 %) [8,12,15]. Stoma relocation to the opposite side of the abdomen is associated with lower recurrence (38 vs. 80 %) in a longterm study [15]. Similar to tissue repair, repeat recurrence rates after stoma relocation are high in the long run and should not be considered as first-line repair [6].…”

Section: Stoma Relocationmentioning

confidence: 99%

Repair of complex parastomal hernias

et al. 2015

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Development of parastomal hernias (PH) is very common after stoma formation and carries a risk of subsequent bowel incarceration, obstruction and strangulation. The management of PH remains a challenge for the colorectal surgeon, and there are currently no standardized guidelines for the treatment of PH. Even more difficult is the management of complex parastomal hernias (CPH). We conducted a review of the literature to identify recent developments in the treatment of CPH, including analysis of the use of synthetic and biologic mesh prostheses, method of mesh placement and surgical approach.

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“…Bei der al leinigen Relokation besteht mit Rezidiv werten zwischen 30 und 45% allerdings wie bei der Erstanlage des Stomas ein ho hes Risiko für die Ausbildung einer erneu ten parastomalen Hernie an der neu an gelegten Stomastelle. In einer in diesem Jahr publizierten retrospektiven Untersu chung an 41 Patienten mit einer medianen Nachbeobachtungsdauer von 2 Jahren lag die Rezidivrate nach kontralateraler Relo kation bei 38% und bei ipsilateraler Relo kation sogar bei 80% [28]. [11].…”

Section: Alleinige Stomarelokationunclassified

Konventionelle Reparation der parastomalen Hernie

Rösch

Conze

Junge

et al. 2010

Chirurg

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The reparation of parastomal hernias and their recurrence remain problematic although the implementation of mesh techniques has lowered recurrences rates. Conventional surgical techniques include suture repair, relocation of the stoma as well as diverse hernia repair procedures with mesh implantation. Suture repair has been abandoned due to its high recurrence rate. Simple relocation is not recommended because of high rates of recurrent parastomal hernias. Conventional hernia repair using mesh implants is classified according to the mesh position into epifascial (onlay), retromuscular (sublay) and intraperitoneal (IPOM) techniques. Furthermore, a combination of relocation with additional mesh enforcement is also possible. The value of the different mesh techniques and of new biological mesh prostheses must be evaluated in randomized controlled studies.

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Surgery of recurrent parastomal hernia: direct repair or relocation?

Cited by 46 publications

References 19 publications

Parastomal Hernia: A Growing Problem with New Solutions

Parastomal Hernia: A Growing Problem with New Solutions

Repair of complex parastomal hernias

Konventionelle Reparation der parastomalen Hernie

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