title: Sigmoidostomy-related parastomal hernia.
abstract: OBJECTIVE
  The aim was to examine prevalence and treatment of parastomal hernias in patients with sigmoidostomy.
  
  
  METHODS
  In 2009, the medical records of 447 consecutive patients operated with a sigmoidostomy from January 1999 to December 2008 were retrospectiely reviewed. 119 dead patients (26.6%) were excluded because of short follow up (n = 59) and insufficient clinical data (n = 60). 328 patients (73.4%) were followed-up, of whom 210 (64%) alive patients also were scrutinized for presence of parastomal hernia by phone interview. In 2010, 92 out of 153 alive patients (60.1%) without known parastomal hernia also underwent targeted clinical examination in the ambulatory unit.
  
  
  CONCLUSIONS
  Follow up from stoma operation in 328 patients was median 20 (range 1-129) months. 319 patients had an end sigmoidostomy and nine patients had a loop sigmoidostomy. Time to parastomal hernia in 66 patients (20.1%) was median 9 (1-54) months. Fourty four patients (66.7%) reported no symptoms, eight (12.1%) had mild discomfort, six (9.1%) leakage, six (9.1%) pain, and two (3%) episodes of intestinal obstruction. Eleven (16.7%) had a hernia operation, eight with onlay mesh repair complicated with bowel perforation and ventral hernia in one patient. Three with mesh repair (37.5%) developed recurrent parastomal hernia, of whom one had tissue repair and a second recurrence 6 months later. The only patient with initial tissue repair had a recurrent hernia successfully treated with mesh repair. Two patients had their stoma uneventfully reversed. Parastomal hernia rate, mainly treated with mesh repair, was fairly low in this heterogenous patient series.
authors: Department of Gastroenterological Surgery, Oslo University Hospital HF, Ulleval, Oslo, Norway. t.a.wik@ulleval.no
authors: T A
authors: TA
authors: Wik
authors: J O B
authors: JO
authors: Hjorthaug
authors: H O
authors: HO
authors: Johannessen
authors: E
authors: E
authors: Johnson
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004766:Enterostomy / Q000009:adverse effects*; D005260:Female; D006555:Hernia, Ventral / Q000209:etiology*; D006801:Humans; D007407:Interviews as Topic; D007415:Intestinal Obstruction / Q000209:etiology; D007416:Intestinal Perforation / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D015995:Prevalence; D012008:Recurrence; D012189:Retrospective Studies; D012812:Sigmoidoscopy / Q000009:adverse effects*; D013526:Surgical Mesh