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Parastomal hernia.

P W G Carne1, G M Robertson, F A Frizelle

  • 1Colorectal Unit, Department of Surgery, Christchurch Hospital, Riccarton Avenue, Christchurch, New Zealand.

The British Journal of Surgery
|July 11, 2003
PubMed
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Parastomal hernia, a common complication after ileostomy or colostomy, occurs in up to 48.1% of cases. Mesh repair offers lower recurrence rates than direct tissue repair for this condition.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Abdominal Surgery

Background:

  • Parastomal hernia is a frequent complication following ileostomy or colostomy formation.
  • Incidence rates vary significantly based on stoma type and follow-up duration.

Purpose of the Study:

  • To review the incidence of parastomal hernia.
  • To examine technical factors influencing hernia development.
  • To assess the efficacy of various repair methods.

Main Methods:

  • A comprehensive literature search was conducted using the Medline database.
  • English language articles on parastomal hernia were identified.
  • Additional relevant studies were sourced from the bibliographies of reviewed articles.

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Main Results:

  • Parastomal hernia incidence ranges from 1.8-48.1% for ileostomies and colostomies.
  • Stoma construction techniques (e.g., site, trephine size) did not demonstrably affect hernia rates.
  • Mesh repair showed lower recurrence rates (0-33.3%) compared to direct tissue repair (46-100%) or stoma relocation (0-76.2%).

Conclusions:

  • Parastomal hernia incidence is highly variable (0-48.1%).
  • No specific stoma construction techniques are proven to prevent herniation.
  • Prosthetic mesh repair is recommended for parastomal hernias requiring surgical intervention.