Laparoscopic and Robotic Repair of Parastomal Hernias

  • Karl A. LeBlanc


The laparoscopic application to the repair of these hernias has proven to be an improvement to the open repair. There have been many approaches to these repairs, but the use of mesh is preferred in all cases. 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 infancy of the robotic repair relies on the experience of the author as there are no current data to report.


  1. 1.
    M Ś, 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
  2. 2.
    Safadi B. Laparoscopic repair of parastomal hernias: early results. Surg Endosc. 2004;18:676–80.CrossRefPubMedGoogle Scholar
  3. 3.
    Hansson BME, Bleichrodt RP, DeHingh IH. Laparoscopic parastomal hernia repair using a keyhole technique results in a high recurrence rate. Surg Endosc. 2009;23:1456–9.CrossRefPubMedGoogle Scholar
  4. 4.
    LeBlanc KA, Bellanger DE, Whitaker JM, Hausmann MG. Laparoscopic parastomal hernia repair. Hernia. 2005;9:140–4.CrossRefPubMedGoogle Scholar
  5. 5.
    LeBlanc KA. Mesh overlap is a key determinant of hernia recurrence following laparoscopic ventral and incisional hernia repair. Hernia. 2016;20(1):85–9.CrossRefPubMedGoogle Scholar
  6. 6.
    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
  7. 7.
    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 Za Zhi. 2011;25(6):681–4.Google Scholar
  8. 8.
    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
  9. 9.
    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
  10. 10.
    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
  11. 11.
    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
  12. 12.
    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
  13. 13.
    Craft RO, Huguet KL, McLemore EC, Harrold KL. Laparoscopic parastomal hernia repair. Hernia. 2008;12(2):137–40.CrossRefGoogle Scholar
  14. 14.
    BM H, 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
  15. 15.
    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.CrossRefPubMedGoogle Scholar
  16. 16.
    Bittner R, Bingener-Casey J, Dietz U, Fabian M, Ferzli G, Fortelny R, Köckerling F, Kukleta J, LeBlanc K, Lomanto D, Misra M, Morales-Conde S, Ramshaw B, Reinpold W, Rim S, Rohr M, Schrittwieser R, Simon T, Smietanski M, Stechemesser B, Timoney M, Chowbey P. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (international endohernia society [IEHS])-part III. Surg Endosc. 2014;28(2):380–404.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Our Lady of the Lake Physician GroupBaton RougeUSA
  2. 2.SurgeryLouisiana State University Health Sciences CenterNew OrleansUSA
  3. 3.Minimally Invasive Surgery InstituteBaton RougeUSA

Personalised recommendations