Abstract
Parastomal hernia is a prevalent problem and treatment can pose difficulties due to
significant rates of recurrence and morbidities of the repair. The current standard
of care is to perform parastomal hernia repair with mesh whenever possible. There
exist multiple options for mesh reinforcement (biologic and synthetic) as well as
surgical techniques, to include type of repair (keyhole and Sugarbaker) and position
of mesh placement (onlay, sublay, or intraperitoneal). The sublay and intraperitoneal
positions have been shown to be superior with a lower incidence of recurrence. This
procedure may be performed open or laparoscopically, both having similar recurrence
and morbidity results. Prophylactic mesh placement at the time of stoma formation
has been shown to significantly decrease the rates of parastomal hernia formation.
Keywords
parastomal hernia - biologic mesh - synthetic mesh - Sugarbaker technique - keyhole
technique
