Table 1.
Patient | Parastomal Hernia |
Coincident Incisional Hernia (EHS)§ | Intraoperative Complications | Postoperative Complications | Additional Port | Length of Hospital Stay (d) | Follow-Up (wk) | ||
---|---|---|---|---|---|---|---|---|---|
Primary/Recurrence | Moreno-Matias Classification† | EHS Classification‡ | |||||||
A | P | II | Type II | M2/4 W2 | No | No | No | 7 | 17 |
B | P | II | Type I | No | No | No | 7 | 17 | |
C | P | I | Type I | No | No | No | 6 | 13 | |
D | R* | III | Type II | M2/3 W1 | Serosal bowel damage | No | One 3-mm port | 12 | 12 |
E | P | II | Type III | No | No | No | 8 | 12 | |
F | P | I | Type I | No | No | No | 7 | 9 | |
G | R* | III | Type IV | M3 W2 | No | Parastomal wound healing defect | One 3-mm port | 18 | 8 |
H | P | III | Type I | No | No | No | 6 | 5 | |
I | P | II | Type IV | M4/5 W1 | No | No | No | 6 | 2 |
cIH, concomitant incisional hernia; EHS, Endo Hernia Society; P, primary; R, recurrence.
Recurrence occurred after keyhole repair.
Moreno-Matias classification of parastomal hernias: 0 = normal, I = hernial sac containing stoma loop, II = sac containing omentum, III = sac containing a loop other than stoma.
EHS classification of parastomal hernias: type I = small (≤5 cm) PSH without cIH, type II = small (≤5 cm) PSH with cIH, type III = large PSH without cIH, type IV = large PSH with cIH.
EHS classification of median incisional hernias: M1 = subxiphoidal, M2 = epigastric, M3 = umbilical, M4 = infraumbilical, M5 = suprapubical, W = width (W1, <4 cm; W2, 4–10 cm; W3, >10 cm).