title: Parastomal hernia repair.
abstract: Parastomal herniation is a common clinical occurrence. Historically, there has been a high recurrence rate after repair, and conservative management is usually recommended for patients with mild symptoms. When operative intervention is warranted, we opt for a laparoscopic mesh sublay over the fascial defect and lateralization of the stoma limb, or the Sugarbaker technique. In patients who are considered poor risk for laparoscopy/laparotomy requiring repair, we perform a fascial onlay with mesh utilizing an anterior circumstomal approach.
authors.affiliation: Division of Gastrointestinal Surgery, Department of Surgery, University of Vermont, Burlington, VT, USA.
authors.forename: Conor H
authors.initials: CH
authors.lastname: O'Neill
authors.forename: Edward C
authors.initials: EC
authors.lastname: Borrazzo
authors.forename: Neil H
authors.initials: NH
authors.lastname: Hyman
mesh_terms: D006555:Hernia, Ventral / Q000209:etiology / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D013526:Surgical Mesh; D054047:Surgical Stomas / Q000009:adverse effects*