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10:52
Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
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Repair of Parastomal Hernias
Andrew M Fleming1, Elizabeth H Wood1
1Department of Surgery, The University of Tennessee Health Science Center, 910 Madison Avenue Room 329, Memphis, TN 38103, USA.
Advances in Surgery
|August 1, 2024
Summary
Parastomal hernias are common after ostomy surgery. This review examines current repair techniques, preventative strategies, and literature on outcomes and recurrence to guide optimal surgical approaches.
Area of Science:
- Surgical Oncology
- Gastroenterology
- Abdominal Wall Reconstruction
Background:
- Parastomal hernias frequently develop following ostomy creation.
- Repairing these hernias presents significant surgical challenges.
- Optimal repair methods lack consensus, despite various techniques and classifications.
Purpose of the Study:
- To review current literature on parastomal hernia repair.
- To discuss common surgical techniques and preventative measures.
- To evaluate perioperative outcomes and recurrence rates associated with different repair strategies.
Main Methods:
- Comprehensive literature review of parastomal hernia repair.
- Analysis of suture versus mesh repair techniques.
- Examination of preventative strategies and their efficacy.
- Assessment of perioperative outcomes and hernia recurrence data.
Main Results:
- Multiple classification systems and repair techniques exist, but optimal method remains debated.
- Preventative measures can reduce incidence, though not eliminate it.
- Mesh repair generally shows lower recurrence rates than suture repair, but carries risks.
- Perioperative outcomes vary based on technique and patient factors.
Conclusions:
- Parastomal hernia repair is complex, requiring careful patient selection and technique choice.
- Further research is needed to establish standardized optimal repair protocols.
- Balancing recurrence rates with potential mesh-related complications is crucial for successful outcomes.
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Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
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