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Parastomal Hernia Repair

  • J. Tyler Watson
  • Karl A. LeBlanc
Chapter

Abstract

The laparoscopic approach to the repair of parastomal hernias has proven to be superior to the open approach. While many approaches to laparoscopic repair have been described, the use of mesh is consistently described in all of them. The use of a keyhole to allow exit of the intestine through the mesh has proven to be associated with an unacceptably high recurrence rate; the Sugarbaker and modified Sugarbaker repairs have been shown to be the most successful methods. These operations can be done via the laparoscopic or robotically assisted laparoscopic techniques. This chapter will discuss the methodology of these similar repairs as well as the results that have been reported in the literature. The robotic approach is described using the author’s experience, as there is no currently published data that details this method.

Keywords

Hernia Parastomal Sugarbaker Laparoscopic Robotic 

References

  1. 1.
    Goligher JC. Surgery of the anus, rectum and colon. Bailliere: Tindall; 1984.Google Scholar
  2. 2.
    Devlin HB. Management of abdominal hernias. Oxford: Butterworth-Heinemann; 1988.Google Scholar
  3. 3.
    Śmietański M, Szczepkowski M, Alexandre JA, Berger D, Bury K, Conze J, Hansson B, Janes A, Miserez M, Mandala V, Montgomery A, Morales Conde S, Muysoms F. European Hernia Society classification of parastomal hernias. Hernia. 2014;18(1):1–6.CrossRefGoogle Scholar
  4. 4.
    Moreno-Matias J, Serra-Aracil X, Darnel-Martin A, Bombardo-Junca J, Mora-Lopez L, Alcantara-Moral M, Rebasa P, Ayguavives-Garnica I, Navarro-Soto S. The prevalence of parastomal hernia after formation of an end colostomy. A new clinic-radiological classification. Color Dis. 2009;11(2):173–7.CrossRefGoogle Scholar
  5. 5.
    Cingi A, Cakir T, Sever A, Aktan AO. Enterostomy site hernias: a clinical and computerized tomographic evaluation. Dis Colon Rectum. 2006;49:1559–63.CrossRefGoogle Scholar
  6. 6.
    Hino H, Yamaguchi T, Kinugasa Y, Shiomi A, Hiroyasu K, Yamakawa Y, Numata M, Furutani A, Suzuki T, Torii K. Relationship between stoma creation route for end colostomy and parastomal hernia development after laparoscopoic surgery. Surg Endosc. 2017;31:1966–73.CrossRefGoogle Scholar
  7. 7.
    Geng HZ, Nasier D, Liu B, Gao H, Xu YK. Meta-analysis of elective surgical complications to defunctioning loop ileostomy compared with loop colostomy after low anterior resection for rectal carcinoma. Ann R Coll Surg Engl. 2015;97(7):494–501.CrossRefGoogle Scholar
  8. 8.
    Kroese LF, de Smet GH, Jeekel J, Kleinrensink GJ, Lange GF. Systematic review and meta-analysis of extraperitoneal versus transperitoneal colostomy for preventing parastomal hernia. Dis Colon Rectum 2016:59(&):688–695.CrossRefGoogle Scholar
  9. 9.
    Janes A, Cengiz Y, Israelsson L. Preventing parastomal hernia with a prosthetic mesh: a 5-year follow-up of a randomized study. Ann R Coll Surg Engl. 2009;93(2):118–21.Google Scholar
  10. 10.
    Tam KW, Wei PL, Kuo LJ, Wu CH. Systematic review of the use of a mesh to prevent parastomal hernia. World J Surg. 2010;34(11):2723–9.CrossRefGoogle Scholar
  11. 11.
    Shabbir J, Chaudhary BN, Dawson R. A systematic reviw on the use of prophylactic mesh during primary stoma formation to prevent parastomal hernia formation. Color Dis. 2012;14(8):931–6.CrossRefGoogle Scholar
  12. 12.
    Williams NS, Hotouras A, Bhan C, Murphy J, Chan CL. A case-controlled pilot study assessing the safety and efficacy of the Stapled Mesh stomA Reinforcement Technique (SMART) in reducing the incidence of parastomal herniation. Hernia. 2015;19(6):949–54.CrossRefGoogle Scholar
  13. 13.
    Ng ZQ, Tan P, Theophilus M. Stapled Mesh stomA Reinforcement Technique (SMART) in the prevention of parastomal hernia: a single-centre experience. Hernia. 2017;21:469–75.CrossRefGoogle Scholar
  14. 14.
    Brandsma HT, Hansson BM, Aufenacker TJ, van Geldere D, Lammeren FM, Mahabier C, Makai P, Steenvoorde P, de Vries Reilingh TS, Wiezer MJ, de Wilt JH, Bleichrodt RP, Rosman C. Prophylactic mesh placement during formation of an end-colostomy reduces the rate of parastomal hernia: short-term results of the Dutch PREVENT-trial. Ann Surg. 2017;265(4):663–9.CrossRefGoogle Scholar
  15. 15.
    Jänes A, Cengiz Y, Israelsson LA. Preventing parastomal hernia with a prosthetic mesh: a 5-year follow-up of a randomized study. World J Surg. 2009;33(1):118–21.CrossRefGoogle Scholar
  16. 16.
    Warwick AM, Velineni R, Smart NJ, Daniels IR. Onlay parastomal hernia repair with cross-linked porcine dermal collagen biologic mesh: long-term results. Hernia. 2016;20(2):321–5.CrossRefGoogle Scholar
  17. 17.
    Safadi B. Laparoscopic repair of parastomal hernias: early results. Surg Endosc. 2004;18:676–80.CrossRefGoogle Scholar
  18. 18.
    Hansson BME, Bleichrodt RP, DeHingh IHJT. Laparoscopic parastomal hernia repair using a keyhole technique results in a high recurrence rate. Surg Endosc. 2009;23:1456–9.CrossRefGoogle Scholar
  19. 19.
    LeBlanc KA, Bellanger DE, Whitaker JM, Hausmann MG. Laparoscopic parastomal hernia repair. Hernia. 2005;9:140–4.CrossRefGoogle Scholar
  20. 20.
    LeBlanc KA. Mesh overlap is a key determinant of hernia recurrence following laparoscopic ventral and incisional hernia repair. Hernia. 2016;20(1):85–9.CrossRefGoogle Scholar
  21. 21.
    P W, Andersen LM. Long-term follow-up of laparoscopic repair of parastomal hernia using a bilayer mesh with a slit. Surg Endosc. 2011;25(2):526–30.CrossRefGoogle Scholar
  22. 22.
    Muysoms F, Van De Winkel N, Ramaswamy A. The Achilles’ heel of Sugarbaker. Hernia. 2017;21(3):477–9.CrossRefGoogle Scholar
  23. 23.
    Liu F, Li J, Wang S, Yao S, Zhu Y. Effectiveness analysis of laparoscopic repair of parastomal hernia using CK Parastomal patch. Zhongguo Xiu Fu Chong Jian Wai Ke Az Zhi. 2011;25(6):681–4.Google Scholar
  24. 24.
    Mizrahi H, Bhattacharya P, Parker MC. Laparoscopic slit mesh repair of parastomal hernia using a designated mesh: long-term results. Surg Endosc. 2012;26(1):267–70.CrossRefGoogle Scholar
  25. 25.
    Berger D, Bientzle M. Laparoscopic repair of parastomal hernias: a single surgeon’s experience in 66 cases. Dis Colon Rectum. 2007;50(10):1668–73.CrossRefGoogle Scholar
  26. 26.
    Berger D, Bientzle M. Polyvinylidene fluoride: a suitable mesh material for incisional and parastomal hernia repair. A prospective observational study of 344 patients. Hernia. 2009;13(2):167–72.CrossRefGoogle Scholar
  27. 27.
    Mancini GJ, McClusky DA 3rd, Khaitan L, Goldenberg EA, Heniford BT, Novitsky YW, et al. Laparoscopic parastomal hernia repair using a nonslit mesh technique. Surg Endosc. 2007;21(9):1487–91.CrossRefGoogle Scholar
  28. 28.
    McLemore EC, Harold KL, Efron JE, Laxa BU, Young-Fadok TM, Heppell JP. Parastomal hernia: short-term outcome after laparoscopic and conventional repairs. Surg Innov. 2007;14(3):199–204.CrossRefGoogle Scholar
  29. 29.
    Craft RO, Huguet KL, McLemore EC, Harrold KL. Laparoscopic parastomal hernia repair. Hernia. 2008;12(2):137–40.CrossRefGoogle Scholar
  30. 30.
    Hansson BM, Slater NJ, van der Velden AS, Groenewoud HM, Buyne OR, de Hingh IH, Bleichrodt RP. Surgical techniques for parastomal hernia repair. Ann Surg. 2012;255(4):685–95.CrossRefGoogle Scholar
  31. 31.
    DeAsis FJ, Lapin B, Gitelis ME, Ujiki MB. Current state of laparoscopic parastomal hernia repair: a meta-analysis. World J Gastroenterol. 2015;21(28):8670–7.CrossRefGoogle Scholar
  32. 32.
    Bittner R, Bingener-Casey J, Dietz U, Fabian M, Ferzli G, Fortelny R, et al. Guidelines for laparoscopici treatment of ventral and incisional abdominal wall hernias (International Endohernia Society [IEHS])-Part III. Surg Endosc. 2014;28(2):380–404.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • J. Tyler Watson
    • 1
  • Karl A. LeBlanc
    • 2
  1. 1.Our Lady of the Lake Regional Medical CenterBaton RougeUSA
  2. 2.Surgeons Group of Baton Rouge, Our Lady of the Lake Physician Group, Clinical Professor, Surgery, Louisiana State University Health Sciences CenterBaton RougeUSA

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