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. 1996 Mar;78(2):81–84.

Parastomal hernia.

L Martin 1, G Foster 1
PMCID: PMC2502533  PMID: 8678463

Abstract

Parastomal herniation is a common complication after stoma formation. The incidence can be reduced by using an extraperitoneal technique, limiting the size of the trephine to 1.5-2.0 cm or by strengthening with a mesh. If an intraperitoneal technique is used the intestine should be brought out through the rectus muscle. Generally, the symptoms are easily controlled with a support belt. Various techniques have been advocated for surgical repair. Fascial repair alone should no longer be performed owing to an unacceptably high recurrence rate, but should be combined with a prosthetic mesh. Relocation of the stoma should be performed for primary repairs.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Abdu R. A. Repair of paracolostomy hernias with Marlex mesh. Dis Colon Rectum. 1982 Sep;25(6):529–531. doi: 10.1007/BF02564160. [DOI] [PubMed] [Google Scholar]
  2. Allen-Mersh T. G., Thomson J. P. Surgical treatment of colostomy complications. Br J Surg. 1988 May;75(5):416–418. doi: 10.1002/bjs.1800750507. [DOI] [PubMed] [Google Scholar]
  3. Balslev I. Kolostomitilvaerelsen. En efterundersogelse med lang observationstid af 110 patienter operet for cancer recti. Ugeskr Laeger. 1973 Dec 17;135(51):2799–2804. [PubMed] [Google Scholar]
  4. Bayer I., Kyzer S., Chaimoff C. A new approach to primary strengthening of colostomy with Marlex mesh to prevent paracolostomy hernia. Surg Gynecol Obstet. 1986 Dec;163(6):579–580. [PubMed] [Google Scholar]
  5. Burns F. J. Complications of colostomy. Dis Colon Rectum. 1970 Nov-Dec;13(6):448–450. doi: 10.1007/BF02616791. [DOI] [PubMed] [Google Scholar]
  6. Cuthbertson A. M., Collins J. P. Strangulated para-ileostomy hernia. Aust N Z J Surg. 1977 Feb;47(1):86–87. doi: 10.1111/j.1445-2197.1977.tb03941.x. [DOI] [PubMed] [Google Scholar]
  7. Daniell S. J. Strangulated small bowel hernia within a prolapsed colostomy stoma. J R Soc Med. 1981 Sep;74(9):687–688. doi: 10.1177/014107688107400913. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. GOLIGHER J. C. Extraperitoneal colostomy or ileostomy. Br J Surg. 1958 Sep;46(196):97–103. doi: 10.1002/bjs.18004619602. [DOI] [PubMed] [Google Scholar]
  9. Kronborg O., Kramhöft J., Backer O., Sprechler M. Late complications following operations for cancer of the rectum and anus. Dis Colon Rectum. 1974 Nov-Dec;17(6):750–753. doi: 10.1007/BF02587634. [DOI] [PubMed] [Google Scholar]
  10. Leslie D. The parastomal hernia. Surg Clin North Am. 1984 Apr;64(2):407–415. doi: 10.1016/s0039-6109(16)43294-9. [DOI] [PubMed] [Google Scholar]
  11. Marks C. G., Ritchie J. K. The complications of synchronous combined excision for adenocarcinoma of the rectum at St Mark's Hospital. Br J Surg. 1975 Nov;62(11):901–905. doi: 10.1002/bjs.1800621111. [DOI] [PubMed] [Google Scholar]
  12. Pearl R. K., Prasad M. L., Orsay C. P., Abcarian H., Tan A. B. A survey of technical considerations in the construction of intestinal stomas. Am Surg. 1985 Aug;51(8):462–465. [PubMed] [Google Scholar]
  13. Pearl R. K., Prasad M. L., Orsay C. P., Abcarian H., Tan A. B., Melzl M. T. Early local complications from intestinal stomas. Arch Surg. 1985 Oct;120(10):1145–1147. doi: 10.1001/archsurg.1985.01390340043008. [DOI] [PubMed] [Google Scholar]
  14. Resnick S. New method of bowel stoma formation. Am J Surg. 1986 Nov;152(5):545–548. doi: 10.1016/0002-9610(86)90226-6. [DOI] [PubMed] [Google Scholar]
  15. Rosin J. D., Bonardi R. A. Paracolostomy hernia repair with Marlex mesh: a new technique. Dis Colon Rectum. 1977 May-Jun;20(4):299–302. doi: 10.1007/BF02586428. [DOI] [PubMed] [Google Scholar]
  16. Rubin M. S., Schoetz D. J., Jr, Matthews J. B. Parastomal hernia. Is stoma relocation superior to fascial repair? Arch Surg. 1994 Apr;129(4):413–419. doi: 10.1001/archsurg.1994.01420280091011. [DOI] [PubMed] [Google Scholar]
  17. Sjödahl R., Anderberg B., Bolin T. Parastomal hernia in relation to site of the abdominal stoma. Br J Surg. 1988 Apr;75(4):339–341. doi: 10.1002/bjs.1800750414. [DOI] [PubMed] [Google Scholar]
  18. Sugarbaker P. H. Peritoneal approach to prosthetic mesh repair of paraostomy hernias. Ann Surg. 1985 Mar;201(3):344–346. doi: 10.1097/00000658-198503000-00015. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. THORLAKSON R. H. TECHNIQUE OF REPAIR OF HERNIATIONS ASSOCIATED WITH COLONIC STOMAS. Surg Gynecol Obstet. 1965 Feb;120:347–350. [PubMed] [Google Scholar]
  20. TURNBULL R. B., Jr Intestinal stomas. Surg Clin North Am. 1958 Oct;38(5):1361–1372. doi: 10.1016/s0039-6109(16)35596-7. [DOI] [PubMed] [Google Scholar]
  21. Whittaker M., Goligher J. C. A comparison of the results of extraperitoneal and intraperitoneal techniques for construction of terminal iliac colostomies. Dis Colon Rectum. 1976 May-Jun;19(4):342–344. doi: 10.1007/BF02590931. [DOI] [PubMed] [Google Scholar]
  22. Williams J. G., Etherington R., Hayward M. W., Hughes L. E. Paraileostomy hernia: a clinical and radiological study. Br J Surg. 1990 Dec;77(12):1355–1357. doi: 10.1002/bjs.1800771212. [DOI] [PubMed] [Google Scholar]
  23. de Ruiter P., Bijnen A. B. Successful local repair of paracolostomy hernia with a newly developed prosthetic device. Int J Colorectal Dis. 1992 Sep;7(3):132–134. doi: 10.1007/BF00360352. [DOI] [PubMed] [Google Scholar]

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