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A modified lateral approach to parastomal hernia repair
M E Hogg1, P M King, R A Keenan
1Department of Surgery, Aberdeen Royal Infirmary, Foresterhill, Aberdeen.
Aim:
Parastomal hernia commonly occurs following the formation of a stoma. This is a review of parastomal hernia repair using a modified lateral approach to access the defect.
Patients/Methods:
A case series of 17 patients, with a median age of 65, who underwent parastomal hernia repair via a lateral approach over a five year period, is presented.
Results:
Of the 17 repairs, there were four minor complications in the form of a superficial cellulitis and conservatively managed ileus. In total there were four recurrences, though only one recurrence occurred in 11 cases after slight modification of the technique. The period of follow-up ranged from 6 to 60 months.
Discussion:
The lateral approach is a viable option for repair of parastomal hernia. It does not necessitate a laparotomy or relocation of the stoma.
Insights
Parastomal hernia repair using a modified lateral approach offers a viable solution. This technique avoids laparotomy and stoma relocation, with a low recurrence rate after technique modification.
Area of Science:
- Abdominal Surgery
- Hernia Repair
- Surgical Techniques
Background:
- Parastomal hernias are a common complication after stoma formation.
- Effective repair strategies are crucial for patient outcomes.
Purpose of the Study:
- To evaluate the efficacy of a modified lateral approach for parastomal hernia repair.
- To assess the outcomes and complications associated with this technique.
Main Methods:
- A case series of 17 patients undergoing parastomal hernia repair.
- Repair was performed using a modified lateral approach over a five-year period.
- Follow-up ranged from 6 to 60 months.
Main Results:
- Four minor complications (cellulitis, ileus) were observed.
- Four recurrences occurred in total.
- Only one recurrence was noted in 11 cases with a modified technique.
Conclusions:
- The modified lateral approach is a feasible option for parastomal hernia repair.
- This method avoids the need for laparotomy and stoma relocation.
- The modified technique demonstrates a promising reduction in recurrence rates.