A modified lateral approach to parastomal hernia repair.
OBJECTIVE
Parastomal hernia commonly occurs following the formation of a stoma. This is a review of parastomal hernia repair using a modified lateral approach to access the defect.


METHODS
A case series of 17 patients, with a median age of 65, who underwent parastomal hernia repair via a lateral approach over a five year period, is presented.


RESULTS
Of the 17 repairs, there were four minor complications in the form of a superficial cellulitis and conservatively managed ileus. In total there were four recurrences, though only one recurrence occurred in 11 cases after slight modification of the technique. The period of follow-up ranged from 6 to 60 months.


CONCLUSIONS
The lateral approach is a viable option for repair of parastomal hernia. It does not necessitate a laparotomy or relocation of the stoma.
Hogg
M E
ME
Department of Surgery, Aberdeen Royal Infirmary, Foresterhill, Aberdeen.
King
P M
PM
Keenan
R A
RA
D000368:Aged; D015331:Cohort Studies; D004766:Enterostomy / Q000009:adverse effects*; D005260:Female; D006555:Hernia, Ventral / Q000209:etiology* / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D013526:Surgical Mesh; D054047:Surgical Stomas / Q000009:adverse effects*; D013536:Suture Techniques; D016896:Treatment Outcome