Parastomal hernia repair
Date
2004
Authors
Rieger, N.
Moore, J.
Hewett, P.
Lee, S.
Stephens, J.
Editors
Advisors
Journal Title
Journal ISSN
Volume Title
Type:
Journal article
Citation
Colorectal Disease, 2004; 6(3):203-205
Statement of Responsibility
N. Rieger, J. Moore, P. Hewett, S. Lee and J. Stephens
Conference Name
Abstract
Objective: The aim of this study was to audit the results of parastomal hernia repair. Methods: A retrospective review was made of all patients having parastomal hernia repair at 2 teaching hospitals over a 12-year period. Results: Forty-three patients had 51 parastomal hernia repairs. Three types of hernia repair were used: 14 (28%) local suture, 19 (37%) local mesh repair and 18 (35%) stoma relocation. Three patients died and significant complications occurred in 65% of repairs. Parastomal hernia recurred in 18 (38%) of repairs. This was greatest with a sutured repair (59%) and least in patients having stoma relocation (24%). Repair with mesh was associated with a 39% recurrence rate. No significant statistical difference was found for the results of these repairs. Conclusion: Parastomal hernia repair is associated with high rates of morbidity, mortality and recurrence. Repair should not be undertaken without a good indication.