eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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vol. 13
Review paper

Parastomal hernia – current knowledge and treatment

Roman Styliński, Adam Alzubedi, Sławomir Rudzki

Videosurgery Miniinv 2018; 13 (1): 1–8
Online publish date: 2018/01/16
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Intestinal stoma creation is one of the most common surgical procedures. The most common long-term complication following stoma creation is parastomal hernia, which according to some authors is practically unavoidable. Statistical differences of its occurrence are mainly due to patient observation time and evaluation criteria. Consequently, primary prevention methods such as placement of prosthetic mesh and newly developed minimally invasive methods of stoma creation are used. It seems that in the light of evidence-based medicine, the best way to treat parastomal hernia is the one that the surgeon undertaking therapy is the most experienced in and is suited to the individuality of each patient, his condition and comorbidities. As a general rule, reinforcing the abdominal wall with a prosthetic mesh is the treatment of choice, with a low rate of complications and relapses over a long period of time. The current trend is to use lightweight, large pore meshes.

hernia, colorectal surgery, parastomal hernia

Tadeo-Ruiz G, Picazo-Yeste JS, Moreno-Sanz C, Herrero-Bogajo ML. Parastomal hernias: background, current status and future prospects. Cir Esp 2010; 87: 339-49.
Goligher JC. Surgery of the anus, rectum and colon. 5th ed. Bailliere Tindall 1985; 703-5.
Martin L, Foster G. Parastomal hernia. Ann R Coll Surg Engl 1996; 78: 81-4.
Israelsson LA. Preventing and treating parastomal hernia. World J Surg 2005; 29: 1086-9.
Arumugam PJ, Bevan L, Macdonald L, et al. A prospective audit of stomas-analysis of risk factors and complications and their management. Color Dis 2003; 5: 49-52.
Moreno-Matias J, Serra-Aracil X, Darnell-Martin A, et al. The prevalence of parastomal hernia after formation of an end colostomy. A new clinico-radiological classification. Color Dis 2009; 11: 173-7.
Seo SH, Kim HJ, Oh SY, Lee JH, Suh KW. Computed tomography classification for parastomal hernia. J Korean Surg Soc 2011; 81: 111-4.
Gil G, Szczepkowski M. A new classification of parastomal hernias: from the experience at Bielanski Hospital in Warsaw. Pol Przegl Chir 2011; 83: 430-7.
Śmietański M, Bury K, Matyja A, et al. Polish guidelines for treatment of patients with parastomal hernia. Pol Przegl Chir 2013; 85: 152-80.
Carne PWG, Robertson GM, Frizelle FA. Parastomal hernia. Br J Surg 2003; 90: 784-93.
Śmietański M, Szczepkowski M, Alexandre JA, et al. European Hernia Society classification of parastomal hernias. Hernia 2014; 18: 1-6.
Cingi A, Solmaz A, Attaallah W, Aslan A, Aktan AO. Enterostomy closure site hernias: a clinical and ultrasonographic evaluation. Hernia 2008; 12: 401-5.
Jänes A, Cengiz Y, Israelsson LA. Randomized clinical trial of the use of a prosthetic mesh to prevent parastomal hernia. Br J Surg 2004; 91: 280-2.
Szczepkowski M, Borycka K, Bielecki K. Wyniki ogólnopolskiego prospektywnego badania epidemiologicznego pacjentów ze stomią. Proktologia 2009; 10: 94-107.
Thompson MJ. Parastomal hernia: incidence, prevention and treatment strategies. Br J Nurs 2008; 17: 18-20.
Rondelli F, Reboldi P, Rulli A, et al. Loop ileostomy versus loop colostomy for fecal diversion after colorectal or coloanal anastomosis: a meta-analysis. Int J Colorectal Dis 2009; 24: 479-88.
Shabbir J, Britton DC. Stoma complications: a literature overview. Color Dis 2010; 12: 958-64.
Black P. Managing physical postoperative stoma complications. Br J Nurs 2009; 18: 4-10.
Nastro P, Knowles CH, McGrath A, et al. Complications of intestinal stomas. Br J Surg 2010; 97: 1885-9.
Hansson BME, De Hingh IHJT, Bleichrodt RP. Laparoscopic parastomal hernia repair is feasible and safe: early results of a prospective clinical study including 55 consecutive patients. Surg Endosc Other Interv Tech 2007; 21: 989-93.
Berger D, Bientzle M. Laparoscopic repair of parastomal hernias: a single surgeon’s experience in 66 patients. Dis Colon Rectum 2007; 50: 1668-73.
Mancini GJ, McClusky DA, Khaitan L, et al. Laparoscopic parastomal hernia repair using a nonslit mesh technique. Surg Endosc Other Interv Tech 2007; 21: 1487-91.
Hasegawa J, Hirota M, Kim HM, et al. Single-incision laparoscopic stoma creation: experience with 31 consecutive cases. Asian J Endosc Surg 2013; 6: 181-5.
Miyoshi N, Fujino S, Ohue M, et al. Standardized technique for single-incision laparoscopic-assisted stoma creation. World J Gastrointest Endosc 2016; 8: 541-5.
Carne PWG, Frye JNR, Robertson GM, Frizelle FA. Parastomal hernia following minimally invasive stoma formation. ANZ J Surg 2003; 73: 843-5.
Israelsson LA. Parastomal hernias. Surg Clin North Am 2008; 88: 113-25.
McGrath A, Porrett T, Heyman B. Parastomal hernia: an exploration of the risk factors and the implications. Br J Nurs 2006; 15: 317-21.
Cheung MT. Complications of an abdominal stoma: an analysis of 322 stomas. Aust N Z J Surg 1995; 65: 808-11.
Leong APK, Londono-Schimmer EE, Phillips RKS. Life-table analysis of stomal complications following ileostomy. Br J Surg 1994; 81: 727-9.
Rullier E, Le Toux N, Laurent C, et al. Loop ileostomy versus loop colostomy for defunctioning low anastomoses during rectal cancer surgery. World J Surg 2001; 25: 274-7.
Pilgrim CHC, McIntyre R, Bailey M. Prospective audit of parastomal hernia: prevalence and associated comorbidities. Dis Colon Rectum 2010; 53: 71-6.
Berger D. Prevention of parastomal hernias by prophylactic use of a specially designed intraperitoneal onlay mesh (Dynamesh IPST®). Hernia 2008; 12: 243-6.
Cingi A, Cakir T, Sever A, Aktan AO. Enterostomy site hernias: a clinical and computerized tomographic evaluation. Dis Colon Rectum 2006; 49: 1559-63.
Allen-Mersh TG, Thomson JPS. Surgical treatment of colostomy complications. Br J Surg 1988; 75: 416-8.
Morris-Stiff G, Hughes LE. The continuing challenge of parastomal hernia: failure of a novel polypropylene mesh repair. Ann R Coll Surg Engl 1998; 80: 184-7.
Thorlakson RH. Technique of repair of herniations associated with colonic stomas. Surg Gynecol Obstet 1965; 120: 347-50.
Bewes PC. Parastomal hernia. Ann R Coll Surg Engl 1997; 79: 154-5.
Cheung MT, Chia NH, Chiu WY. Surgical treatment of parastomal hernia complicating sigmoid colostomies. Dis Colon Rectum 2001; 44: 266-70.
Rubin MS, Schoetz Jr DJ, Matthews JB. Parastomal hernia is stoma relocation superior to fascial eepair? Arch Surg 1994; 129: 413-9.
Hopkins TB, Trento A. Parastomal ileal loop hernia repair with marlex mesh. J Urol 1982; 128: 811-2.
Moore TC, Siderys H. The use of pliable plastics in the repair of abdominal wall defects. Ann Surg 1955; 142: 973-9.
Koontz AR, Kimberly RC. Tantalum and marlex mesh (with a note on marlex thread): an experimental and clinical comparison: preliminary report. Ann Surg 1960; 151: 796-804.
Aldridge AJ, Simson JNL. Erosion and perforation of colon by synthetic mesh in a recurrent paracolostomy hernia. Hernia 2001; 5: 110-2.
Rosin JD, Bonardi RA. Paracolostomy hernia repair with Marlex mesh: a new technique. Dis Colon Rectum 1977; 20: 299-302.
Abdu RA. Repair of paracolostomy hernias with Marlex mesh. Dis Colon Rectum 1982; 25: 529-31.
Leslie D. The parastomal hernia. Surg Clin North Am 1984; 64: 407-15.
Tekkis PP, Kocher HM, Payne JG. Parastomal hernia repair: modified Thorlakson technique, reinforced by polypropylene mesh. Dis Colon Rectum 1999; 42: 1505-8.
Martinez-Munive A, Medina-Ramirez Llaca O, Quijano-Orvananos F, et al. Intraparietal mesh repair for parastomal hernias. Hernia 2000; 4: 272-4.
Bou CJ. Treitement deséventrations yuxtastomiales par voie intraperitoneale sans transpositions. Technique el premiers résultats. Lyon Chir 1990; 86: 577-89.
Kasperk R, Klinge U, Schumpelick V. The repair of large parastomal hernias using a midline approach and a prosthetic mesh in the sublay position. Am J Surg 2000; 179: 186-8.
Alexandre JH, Bouillot JL. Paracolostomal hernia: repair with use of a Dacron prosthesis. World J Surg 1993; 17: 680-2.
Sugarbaker P. Peritoneal approach to prosthetic mesh repair of paraostomy hernias. Ann Surg 1985; 201: 344-6.
Porcheron J, Payan B, Balique JG. Mesh repair of paracolostomal hernia by laparoscopy. Surg Endosc 1998; 12: 1281.
Hansson BME, Van Nieuwenhoven EJ, Bleichrodt RP. Promising new technique in the repair of parastomal hernia. Surg Endosc Other Interv Tech 2003; 17: 1789-91.
DeAsis F, Lapin B, Gitelis ME, Ujiki MB. Current state of laparoscopic parastomal hernia repair: a meta-analysis. World J Gastroenterol 2015; 21: 8670-7.
Voitk A. Simple technique for laparoscopic paracolostomy hernia repair. Dis Colon Rectum 2000; 43: 1451-3.
Berger D, Bientzle M. Polyvinylidene fluoride: a suitable mesh material for laparoscopic incisional and parastomal hernia repair! Hernia 2009; 13: 167-72.
Szczepkowski M, Skoneczny P, Przywozka A, et al. New minimally invasive technique of parastomal hernia repair – methods and review. Videosurgery Miniinv 2015; 10: 1-7.
Zhu J, Pu Y, Yang X, et al. Prophylactic mesh application during colostomy to prevent parastomal hernia: a meta-analysis. Gastroenterol Res Pract 2016; 2016: 1694265.
Chapman SJ, Wood B, Drake TM, et al. Systematic review and meta-analysis of prophylactic mesh during primary stoma formation to prevent parastomal hernia. Dis Colon Rectum 2017; 60: 107-15.
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