Is Parastomal hernia repair a palliative operation? Therapeutic and prophylactic approaches to the parastomal hernia

Presented by Adrian Park at the Your Session: Abdominal Wall Hernia – Provocative Questions in the Practice of Hernia Repair held during the 2017 SAGES Annual Meeting in Houston, TX on Friday, March 24, 2017

Keyword(s): 3D funnel mesh, abdominal wall, abdominal wall stoma, approach, asymptomatic, body image, bowel, British Journal of Surgery, chronic pain, colon, colorectal surgeons, colostomy, comorbidities, complication, component separation, concomitant, contralateral, counseling, curative surgery, end stoma, eTEP, European, evaluation, extended totally extraperitoneal, failure, fellow, follow-up, hernia recurrence, hernia surgery, hiatal hernia repair, hiatus, ileal conduit, ileostomy, ileum, incidence, incisional hernia, inguinal hernia repair, inlay, interstitial parastomal hernia, intra-abdominal, IPOM, JAMA, keyhole, laparoscopic, laparoscopy, laparotomy, loop stoma, mesh, mesh complication, mesh erosion, meta-analysis, minimally invasive, morbidity, onlay, open incisional hernia repair, palliative surgery, parastomal hernia repair, performance, peritoneum, permanent, PH, prevention, primary repair, primary suture repair, prophylactic approach, psychosocial, PTFE, quadrant, rectal cancer, rectus, rectus abdominis, referrals, research, retromuscular, robotics, rTAR, seminal, single site, smoking cessation, spillage, SQ, stapling, stoma relocation, stricture, subcutaneous parastomal hernia, sublay, Sugarbaker technique, supine, TAPP, TAR, teaching, technique, temporary, TEP, therapeutic approach, therapy, transversus abdominis release, treatment, U.S., underlay, United States, viscera

Citation–43 sec Am J Surg 2017

Definitions–2:42

Interstitial parastomal hernia–3:01

SQ parastomal hernia–3:15

Incidence–3:22

Clinical presentation–3:43

Surgical management–4:05

Primary repair–4:48 Arch Surg 1994

DCR 2001

Ann R Coll Surg Engl 1996

Br J Surg 1986

Stoma relocation–5:16