Parastomal hernia: Short-Term outcome after laparoscopic and conventional repairs

Elisabeth C. McLemore, Kristi L. Harold, Jonathan E. Efron, Bernadette U. Laxa, Tonia M. Young-Fadok, Jacques P. Heppell

Research output: Contribution to journalReview articlepeer-review

29 Scopus citations

Abstract

The purpose of this study was to evaluate the short-term outcomes after laparoscopic and conventional parastomal hernia repairs. A retrospective review of parastomal hernia repairs was performed. Conventional repairs included primary suture repair, stoma relocation, and mesh repair. Laparoscopic repairs included the Sugarbaker and keyhole techniques. Forty-nine patients underwent repair of symptomatic parastomal hernias: 19 ileostomies, 13 colostomies, and 17 urostomies. Thirty patients underwent 39 conventional repairs. Nineteen patients underwent laparoscopic surgical repairs. Operative times were longer for laparoscopic repair (208 ± 58 vs 162 ± 114 minutes, P = .06). The mean length of stay was 6 days for both groups (P = .74). The mean follow-up was shorter in the laparoscopic group (20 vs 65 months, P ≤ .001). There were no significant differences in the incidence of surgical site infections (11% laparoscopic vs 5% conventional, P = .60) or complication rates (63% laparoscopic vs 36% conventional, P = .67). Laparoscopic parastomal hernia repair is a feasible operation with similar short-term outcomes to conventional repairs.

Original languageEnglish (US)
Pages (from-to)199-204
Number of pages6
JournalSurgical Innovation
Volume14
Issue number3
DOIs
StatePublished - Sep 1 2007

Keywords

  • Keyhole
  • Laparoscopy
  • Parastomal hernia repair
  • Sugarbaker

ASJC Scopus subject areas

  • Surgery

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