Skip to main content

Parastomal Hernia Repair

  • Chapter
  • First Online:
Laparoscopic and Robotic Incisional Hernia Repair
  • 536 Accesses

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 54.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Goligher JC. Surgery of the anus, rectum and colon. Bailliere: Tindall; 1984.

    Google Scholar 

  2. Devlin HB. Management of abdominal hernias. Oxford: Butterworth-Heinemann; 1988.

    Google Scholar 

  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.

    Article  Google Scholar 

  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.

    Article  CAS  Google Scholar 

  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.

    Article  Google Scholar 

  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.

    Article  Google Scholar 

  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.

    Article  Google Scholar 

  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.

    Article  Google Scholar 

  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. 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.

    Article  Google Scholar 

  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.

    Article  CAS  Google Scholar 

  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.

    Article  CAS  Google Scholar 

  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.

    Article  CAS  Google Scholar 

  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.

    Article  Google Scholar 

  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.

    Article  Google Scholar 

  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.

    Article  CAS  Google Scholar 

  17. Safadi B. Laparoscopic repair of parastomal hernias: early results. Surg Endosc. 2004;18:676–80.

    Article  CAS  Google Scholar 

  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.

    Article  CAS  Google Scholar 

  19. LeBlanc KA, Bellanger DE, Whitaker JM, Hausmann MG. Laparoscopic parastomal hernia repair. Hernia. 2005;9:140–4.

    Article  CAS  Google Scholar 

  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.

    Article  CAS  Google Scholar 

  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.

    Article  Google Scholar 

  22. Muysoms F, Van De Winkel N, Ramaswamy A. The Achilles’ heel of Sugarbaker. Hernia. 2017;21(3):477–9.

    Article  CAS  Google Scholar 

  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. 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.

    Article  CAS  Google Scholar 

  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.

    Article  Google Scholar 

  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.

    Article  CAS  Google Scholar 

  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.

    Article  CAS  Google Scholar 

  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.

    Article  Google Scholar 

  29. Craft RO, Huguet KL, McLemore EC, Harrold KL. Laparoscopic parastomal hernia repair. Hernia. 2008;12(2):137–40.

    Article  CAS  Google Scholar 

  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.

    Article  Google Scholar 

  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.

    Article  Google Scholar 

  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.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Watson, J.T., LeBlanc, K.A. (2018). Parastomal Hernia Repair. In: LeBlanc, K. (eds) Laparoscopic and Robotic Incisional Hernia Repair. Springer, Cham. https://doi.org/10.1007/978-3-319-90737-6_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-90737-6_12

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-90736-9

  • Online ISBN: 978-3-319-90737-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics