Evolution and focus of parastomal hernia repair / 中华消化外科杂志

ABSTRACT

Due to the high incidence and postoperative high recurrence rate, parastomal hernia is one of the most difficult ventral hernias for clinical treatment. Currently, there are numerous of surgical options for the treatment of parastomal hernia, including suture repair, stoma relocation, onlay mesh repair through hernia ring, stoma relocation combined with sublay mesh prophylactic and repairing, Sugarbaker technique repair and its modified operation, Keyhole technique repair and its modified operation, Sandwich technique repair and hybrid surgery. However, none of them could achieve a satisfactory efficacy of low recurrence rate and few complications. With the increasing application of enhanced view-totally extraperitoneal technique in ventral hernia, laparoscopic extraperitoneal parastomal hernia repair has been applied and explored in clinical practice. There are contrary results in clinical studies on whether the prophylatic mesh placement can reduce the incidence of parastomal hernia. Hence, the treatment and prevention of parastomal hernia is still a long-term and arduous task in the field of abdominal wall defect repair, which needs to be further explored and verified by more high-quality and meaningful clinical studies.