Abdominal Wall Reconstruction and Parastomal Hernia Repair

Clayton C. Petro, Ajita Prabhu, Michael J. Rosen
Abdominal Wall Reconstruction and Parastomal Hernia Repair is a topic covered in the ASCRS Textbook of Colon and Rectal Surgery.

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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.

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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.

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Last updated: January 26, 2022