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Hernia Surgery pp 241-252 | Cite as

Laparoscopic Parastomal Hernia Repair

  • Erin M. Garvey
  • Kristi L. HaroldEmail author
Chapter

Abstract

Parastomal hernias are a common and challenging occurrence after stoma creation. There is no universally agreed upon classification system. Many risk factors for parastomal hernia are not modifiable. Imaging can serve as an adjunct to a history and physical exam in diagnosing parastomal hernia. Complications can vary in severity and may warrant operative intervention. Operative approach can be open or laparoscopic, but mesh repairs are preferred to non-mesh repairs. It is our preference to perform a laparoscopic modified Sugarbaker technique for both initial and recurrent parastomal hernias. Prophylactic mesh placement at the time of stoma creation has been shown to decrease rates of parastomal hernia development without increasing the rate of infectious complications.

Keywords

Parastomal hernia Incidence Risk factors Complications Prevention Sugarbaker technique Keyhole technique Laparoscopic Prosthetic mesh Outcomes 

Supplementary material

Video 23.1

Laparoscopic Parastomal (Sugarbaker) repair, by Harold (WMV 137,831 kb)

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Division of General SurgeryMayo Clinic ArizonaPhoenixUSA

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