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Updated: May 27, 2026
10:52
Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Sigmoidostomy-related parastomal hernia
T A Wik1, J O B Hjorthaug, H O Johannessen
1Department of Gastroenterological Surgery, Oslo University Hospital HF, Ulleval, Oslo, Norway. t.a.wik@ulleval.no
Summary
Parastomal hernias affect 20.1% of patients with sigmoidostomy, often asymptomatic. Mesh repair is common but has recurrence and complication risks.
Area of Science:
- Colorectal Surgery
- Surgical Oncology
- Abdominal Wall Reconstruction
Background:
- Parastomal hernias are a known complication following sigmoidostomy creation.
- Understanding the prevalence and clinical impact of parastomal hernias is crucial for patient management.
Purpose of the Study:
- To determine the incidence of parastomal hernias in patients who underwent sigmoidostomy.
- To analyze the treatment outcomes and complications associated with parastomal hernias.
Main Methods:
- Retrospective review of 447 patients undergoing sigmoidostomy between 1999 and 2008.
- Follow-up included phone interviews and clinical examinations for parastomal hernia assessment.
- Analysis of surgical interventions and their outcomes for parastomal hernias.
Main Results:
- A parastomal hernia incidence of 20.1% was observed over a median follow-up of 20 months.
- Most parastomal hernias were asymptomatic or caused mild discomfort.
- Surgical repair, primarily with mesh, had a 37.5% recurrence rate and associated complications like bowel perforation.
Conclusions:
- Parastomal hernias are a significant concern after sigmoidostomy, with a notable incidence.
- Current treatment strategies, particularly mesh repair, present challenges with recurrence and complications.
- Further research into optimal surgical techniques for parastomal hernia repair is warranted.
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