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Updated: Apr 28, 2026
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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
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Single-center experience with parastomal hernia repair using retromuscular mesh placement
Siavash Raigani1, Cory N Criss, Clayton C Petro
1Case Comprehensive Hernia Center, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, OH, USA.
Summary
Open retromuscular mesh repair for parastomal hernias (PHs) is effective, even for complex recurrent cases. This surgical technique, including stoma relocation, shows a low recurrence rate, making it a viable option for PH treatment.
Area of Science:
- General Surgery
- Abdominal Wall Reconstruction
Background:
- Parastomal hernias (PHs) are common post-enterostomy complications.
- Evaluating outcomes of open PH repair with retromuscular mesh reinforcement is crucial.
Purpose of the Study:
- To assess the efficacy of open retromuscular mesh repair for parastomal hernias.
- To evaluate outcomes including complications and recurrence rates.
Main Methods:
- Retrospective analysis of 48 open retromuscular repairs for PH in 46 patients (2006-2013).
- Technique involved stoma relocation, retromuscular dissection, posterior component separation, and mesh placement.
- Prophylactic mesh reinforcement of stomas and outcome assessment (complications, recurrences).
Main Results:
- A total of 48 PH repairs were performed, with 24 patients having recurrent hernias.
- Various mesh types were used, including biologic, lightweight polypropylene, and absorbable synthetic.
- The study reported 15 superficial and 6 deep surgical site infections (SSIs), with an 11% recurrence rate at 13-month follow-up.
Conclusions:
- Open retromuscular mesh repair with stoma relocation is an effective technique for complex parastomal hernias.
- This approach demonstrates a low recurrence rate and should be considered for PH repair.
