title: A modified lateral approach to parastomal hernia repair.
abstract: 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.
authors.affiliation: Department of Surgery, Aberdeen Royal Infirmary, Foresterhill, Aberdeen.
authors.forename: M E
authors.initials: ME
authors.lastname: Hogg
authors.forename: P M
authors.initials: PM
authors.lastname: King
authors.forename: R A
authors.initials: RA
authors.lastname: Keenan
mesh_terms: 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