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Related Experiment Video

Updated: Jun 10, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
10:52

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

Laparoscopic parastomal hernia repair.

Art Hiranyakas1, Yik-Hong Ho

  • 1Department of Surgery, James Cook University, Townsville, Queensland, Australia.

Diseases of the Colon and Rectum
|August 14, 2010
PubMed
Summary
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Parastomal hernia, a frequent complication after stoma creation, has varying incidence rates. Mesh repair offers the lowest recurrence rates for parastomal hernia, making it a preferred surgical option.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Abdominal Surgery

Background:

  • Parastomal hernia is a common complication following stoma formation, with reported incidences ranging from 30% to 50%.
  • The risk of parastomal hernia varies significantly based on stoma type, with end colostomy having the highest incidence (48%) and loop ileostomy the lowest (0%-6.2%).
  • Herniation can occur up to 20 years post-stoma construction, potentially leading to serious complications like strangulation and perforation.

Purpose of the Study:

  • To review the incidence, risk factors, and management strategies for parastomal hernia.
  • To evaluate the efficacy of different surgical repair techniques, including primary closure, stoma relocation, and mesh repair.

Main Methods:

  • Literature review of studies on parastomal hernia incidence, etiology, and surgical outcomes.

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  • Analysis of recurrence rates associated with various surgical approaches for parastomal hernia repair.

    • Main Results:

    • Primary closure of the aponeurosis has high recurrence rates (38%-100%).
    • Stoma relocation may eliminate recurrence at the original site but carries risks of new hernias.
    • Prosthetic mesh repair, utilized via open or laparoscopic approaches, demonstrates the lowest recurrence rates (0%-33%).

    Conclusions:

    • Parastomal hernia is a significant concern after stoma surgery, necessitating careful consideration of repair methods.
    • Mesh repair is associated with superior outcomes and lower recurrence rates compared to primary closure or stoma relocation.
    • Further research may focus on optimizing mesh techniques and patient selection for parastomal hernia repair.