Laparoscopic parastomal hernia repair

Authors: Craft, R.1; Huguet, K.1; McLemore, E.1; Harold, K.2

Source: Hernia, Volume 12, Number 2, April 2008 , pp. 137-140(4)

Publisher: Springer

Buy & download fulltext article:


Price: $47.00 plus tax (Refund Policy)


Management of the parastomal hernia represents a common clinical dilemma for both the surgeon and patient. Once established, these defects are notoriously difficult to treat. Although most parastomal hernias can be managed nonoperatively, approximately 30% will require intervention secondary to complications such as obstruction, pain, bleeding, poorly fitting appliances, or leakage. Overall complication rates of up to 88%, combined with a growing body of literature citing decreased patient morbidity and improved outcomes with laparoscopic tension-free mesh repair of ventral hernias, have led many surgeons to apply these techniques to this difficult problem.

This was a retrospective review of 21 consecutive patients who underwent laparoscopic repair of their parastomal hernias with ePTFE mesh.

Nine (43%) were ileal conduits, seven (33%) were ileostomies, and five (24%) were colostomies. Eight patients had undergone prior hernia repair. Follow-up ranges from 1 to 36 months (average 14 months). There has been one recurrence (5%). Other complications included laparoscopic re-operation for obstruction of a urinary conduit (n = 1), mesh removal for infection (n = 2), Clostridium Difficile colitis (n = 1), pneumonia (n = 2), renal failure (n = 1), surgical site infection (n = 1), and bowel obstruction at a site remote from the hernia repair (n = 2).

The laparoscopic approach to parastomal hernias is a new technique that offers many potential advantages over conventional open repairs. Based on our initial experience, this repair seems to be associated with a low recurrence rate.

Keywords: Hernia; Laparoscopy; Parastomal; ePTFE

Document Type: Research Article


Affiliations: 1: Department of Surgery, Mayo Clinic Arizona, 5777 East Mayo Blvd, Phoenix, AZ, 85054, USA 2: Department of Surgery, Mayo Clinic Arizona, 5777 East Mayo Blvd, Phoenix, AZ, 85054, USA, Email:

Publication date: April 1, 2008

Related content


Free Content
Free content
New Content
New content
Open Access Content
Open access content
Subscribed Content
Subscribed content
Free Trial Content
Free trial content

Text size:

A | A | A | A
Share this item with others: These icons link to social bookmarking sites where readers can share and discover new web pages. print icon Print this page