Parastomal hernias are a frequent occurrence following creation of a colostomy or ileostomy with an incidence of approximately 30–50%. Common presenting signs and symptoms include an asymptomatic bulge, vague discomfort, difficulty with the stoma appliance, or partial obstruction. Most parastomal hernias are asymptomatic and do not need to be repaired, but when repair is needed, procedures are often challenging and complex. Surgical options include primary repair, relocation of the stoma to the contralateral side with repair of the hernia, and repair of the hernia with prosthetic mesh. Each technique has advantages and disadvantages and varies in terms of difficulty, complications, and outcomes. This chapter reviews the surgical techniques used for parastomal hernia repair.
KeywordsVentral Hernia Parastomal Hernia Prosthetic Mesh Hernia Formation Anterior Fascia