Parastomal Hernia Repair with a 3D Funnel Intraperitoneal Mesh Device and Same-Sided Stoma Relocation: Results of 56 Cases

Abstract Development of retro muscular space with transversus abdominis release has reached maturity in endoscopic surgery. Next-level reconstruction is adaptation to parastomal hernia repair alone or in conjunction with another abdominal wall hernia repair. We aim to present this extraperitoneal modified mesh technique based on the Sugarbaker principle with video demonstration and share clinical data and results from twenty-four patients operated with this technique within two years from the spring of 2019 to the spring of 2021. 77% patients had para-colostomy hernia and 41% of the patients had accessory repairs for midline or opposite flank hernia. 18% had prophylactic mesh at index operation, 27% were recurrent parastomal hernia and ostomies were formed median 32 months prior to parastomal hernia repair. 72% of the patients were operated robotically and 28% laparoscopically. Median follow up at time for presentation will be 17 months.

Download Full-text

Laparoscopic Parastomal Hernia Repair

Minimally Invasive Approaches to Colon and Rectal Disease ◽

10.1007/978-1-4939-1581-1_17 ◽

2014 ◽

pp. 189-197

Author(s):

Joshua A. Tyler ◽

Matthew G. Mutch

Keyword(s):

Hernia Repair ◽

Parastomal Hernia ◽

Parastomal Hernia Repair

Download Full-text

Abdominal Wall Reconstruction and Parastomal Hernia Repair

10.1007/978-3-030-66049-9_55 ◽

2021 ◽

pp. 947-959

Author(s):

Clayton C. Petro ◽

Ajita Prabhu ◽

Michael J. Rosen

Keyword(s):

Hernia Repair ◽

Abdominal Wall ◽

Parastomal Hernia ◽

Abdominal Wall Reconstruction ◽

Parastomal Hernia Repair

Download Full-text

Autologous full-thickness skin graft as reinforcement in parastomal hernia repair: a feasibility study

Techniques in Coloproctology ◽

10.1007/s10151-020-02368-6 ◽

2020 ◽

Author(s):

V. Holmdahl ◽

U. Gunnarsson ◽

K. Strigård

Keyword(s):

Hernia Repair ◽

Skin Graft ◽

Parastomal Hernia ◽

Complication Rates ◽

Full Thickness ◽

Full Thickness Skin Graft ◽

Full Thickness Skin ◽

Thickness Skin ◽

Parastomal Hernia Repair

Abstract Background Parastomal hernia is a common complication of stoma formation and the methods of repair available today are unsatisfactory with high recurrence and complication rates. To improve outcome after surgical repair of parastomal hernia, a surgical method using autologous full-thickness skin grafts as intraperitoneal reinforcement has been developed. The purpose of this study was to evaluate the feasibility of this novel surgical technique in the repair of parastomal hernia. Methods A pilot study was conducted between January 2018 and June 2019 on four patients with symptomatic parastomal hernia. They had a laparotomy with suture reduction of the hernia and reinforcement of the abdominal wall with autologous full-thickness skin. They were then monitored for at least 1 year postoperatively for technique-related complications and recurrence. Results No major technique-related complications were noted during the follow-up Two patients developed a recurrent parastomal hernia at the long term follow-up. The other two had no recurrence. Conclusions Autologous full-thickness skin graft as reinforcement in parastomal hernia repair is feasible and should be evaluated in a larger clinical trial.

Download Full-text

Patients Undergoing Parastomal Hernia Repair Using the Americas Hernia Society Quality Collaborative: A Prospective Cohort Study

Journal of the American College of Surgeons ◽

10.1016/j.jamcollsurg.2018.07.658 ◽

2018 ◽

Vol 227 (4) ◽

pp. 393-403.e1 ◽

Cited By ~ 2

Author(s):

Thomas Gavigan ◽

Thomas Stewart ◽

Brent Matthews ◽

Caroline Reinke

Keyword(s):

Cohort Study ◽

Hernia Repair ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Parastomal Hernia ◽

Parastomal Hernia Repair

Download Full-text

Parastomal Hernia Repair; Seldom Performed and Seldom Reported: Results From a Nationwide Survey

Scandinavian Journal of Surgery ◽

10.1177/1457496918818984 ◽

2018 ◽

Vol 109 (2) ◽

pp. 96-101 ◽

Cited By ~ 3

Author(s):

C. Odensten ◽

K. Strigård ◽

M. Dahlberg ◽

U. Gunnarsson ◽

P. Näsvall

Keyword(s):

Risk Factors ◽

Hernia Repair ◽

Parastomal Hernia ◽

Surgical Complication ◽

Nationwide Survey ◽

Population Based ◽

Quality Register ◽

Parastomal Hernia Repair ◽

National Patient ◽

Procedure Codes

Background: Parastomal hernia is common, but there are few population-based studies showing the frequency and outcome of parastomal hernia repair in routine surgical practice. The aim of this study was to identify patients undergoing surgery for parastomal hernia in Sweden and to define risk factors for complication and recurrence. Methods: A broad search of the Swedish National Patient Register 1998–2007 for all possible parastomal hernia repairs using surgical procedure codes. Records of all patients identified were reviewed and those with a definite parastomal hernia procedure were included and analyzed. Results: A total of 71 patients were identified after review of the records. The most common reason for surgery was cosmetic and the most frequent method was relocation of the stoma. Parastomal hernia recurrence rate was 18% during follow-up of a minimum 2 years. Overall, a surgical complication occurred in 32%. Possible risk factors were analyzed including emergency surgery versus planned, gender, age, indication for surgery, and method of surgery; none of which was significant. Conclusion: The frequency of parastomal hernia procedures was much lower than suggested by previous studies. The number of procedures per surgeon was even lower than expected. No specific risk factor could be identified. Parastomal hernia auditing in the form of a nationwide quality register should be mandatory. Centralization should be considered.

Download Full-text