title: Parastomal hernia: a growing problem with new solutions.
abstract: Parastomal hernia is one of the most common complications following stoma creation and its prevalence is only expected to increase. It often leads to a decrease in the quality of life for patients due to discomfort, pain, frequent ostomy appliance leakage, or peristomal skin irritation and can result in significantly increased healthcare costs. Surgical technique for parastomal hernia repair has evolved significantly over the past two decades with the introduction of new types of mesh and laparoscopic procedures. The use of prophylactic mesh in high-risk patients at the time of stoma creation has gained attention in lieu of several promising studies that have emerged in the recent days. This review will attempt to demonstrate the burden that parastomal hernias present to patients, surgeons, and the healthcare system and also provide an overview of the current management and surgical techniques at both preventing and treating parastomal hernias.
authors.affiliation: Surgical Health Outcomes & Research Enterprise (S.H.O.R.E.), Division of Colorectal Surgery, Department of Surgery, University of Rochester Medical Center, Rochester, N.Y., USA.
authors.forename: Christopher T
authors.initials: CT
authors.lastname: Aquina
authors.forename: James C
authors.initials: JC
authors.lastname: Iannuzzi
authors.forename: Christian P
authors.initials: CP
authors.lastname: Probst
authors.forename: Kristin N
authors.initials: KN
authors.lastname: Kelly
authors.forename: Katia
authors.initials: K
authors.lastname: Noyes
authors.forename: Fergal J
authors.initials: FJ
authors.lastname: Fleming
authors.forename: John R T
authors.initials: JR
authors.lastname: Monson
mesh_terms: D015179:Colorectal Neoplasms / Q000473:pathology / Q000601:surgery; D003125:Colostomy / Q000009:adverse effects / Q000379:methods; D005260:Female; D006555:Hernia, Ventral / Q000453:epidemiology / Q000209:etiology* / Q000503:physiopathology; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D007081:Ileostomy / Q000009:adverse effects / Q000379:methods; D015994:Incidence; D008297:Male; D011788:Quality of Life; D012008:Recurrence; D018570:Risk Assessment; D013526:Surgical Mesh; D054047:Surgical Stomas / Q000009:adverse effects*; D016896:Treatment Outcome