Key Concepts

• The precise incidence of parastomal herniation is largely based on criteria for diagnosis.
• A selective approach to repair of parastomal hernias is warranted owing to the high recurrence rates associated with surgical repair.
• Repair should generally be restricted to highly symptomatic patients with parastomal hernia.
• Laparoscopic Sugarbaker repair is the procedure of choice for most patients requiring surgery for parastomal hernias.
• Advanced abdominal wall reconstruction techniques may be indicated in complex defects.