Parastomal hernia - current knowledge and treatment.

Area of Science:

• Surgical Oncology
• Gastroenterology
• Abdominal Wall Reconstruction

Background:

• Intestinal stoma creation is a frequent surgical procedure.
• Parastomal hernia is the most common long-term complication, often considered unavoidable.
• Variations in reported incidence are linked to observation duration and assessment methods.

Purpose of the Study:

• To review current strategies for the primary prevention and treatment of parastomal hernias.
• To emphasize evidence-based approaches tailored to individual patient factors.
• To highlight the role of prosthetic mesh reinforcement in managing parastomal hernias.

Main Methods:

• Review of evidence-based medicine literature on parastomal hernia management.
• Discussion of primary prevention techniques, including prosthetic mesh placement and minimally invasive stoma creation.
• Analysis of treatment options, emphasizing surgeon experience and patient-specific factors.

Main Results:

• Prosthetic mesh reinforcement of the abdominal wall is the recommended treatment for parastomal hernia.
• This approach demonstrates a low incidence of complications and long-term relapse.
• Current trends favor the use of lightweight, large-pore prosthetic meshes.

Conclusions:

• The optimal treatment for parastomal hernia is individualized, considering surgeon expertise and patient condition.
• Prosthetic mesh reinforcement is a reliable and effective method for managing parastomal hernias.
• The use of specific mesh types (lightweight, large-pore) is a current trend in surgical practice.