title: Parastomal hernia: short-term outcome after laparoscopic and conventional repairs.
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 < or = .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.
authors.affiliation: Department of Surgery, Mayo Clinic Arizona, Phoenix, Arizona 85054, USA.
authors.forename: Elisabeth C
authors.initials: EC
authors.lastname: McLemore
authors.forename: Kristi L
authors.initials: KL
authors.lastname: Harold
authors.forename: Jonathan E
authors.initials: JE
authors.lastname: Efron
authors.forename: Bernadette U
authors.initials: BU
authors.lastname: Laxa
authors.forename: Tonia M
authors.initials: TM
authors.lastname: Young-Fadok
authors.forename: Jacques P
authors.initials: JP
authors.lastname: Heppell
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D046449:Hernia, Abdominal / Q000209:etiology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013526:Surgical Mesh; D054047:Surgical Stomas / Q000009:adverse effects*; D016896:Treatment Outcome