Operative Findings and Outcomes of Parastomal Hernia Repairs at Our Institution

Purpose: The aim of this study was to evaluate the characteristics and operative outcomes of parastomal hernia (PSH) repairs performed at our institution. Patients and methods: Eight primary and 3 recurrent PSH repairs were performed. Types of stoma, the post-stoma placement period before the appearance of hernia, locations of hernia, indications for hernia repair, types of operative procedures, postoperative complications and recurrence were examined. Results: Mean follow-up periods of primary and recurrent hernias were 16 (2-60) and 25 (10-53) months, respectively. Types of stoma consisted of two end ileostomies, four end colostomies and two loop colostomies, for which the following procedures were performed: two open keyhole repairs (OKH), two laparoscopic Sugarbaker repairs (LSB), one closure of stoma, two relocations and one component separation method (CS). All OKH and CS cases resulted in recurrence, and the mean period before recurrence was 6.7 (5-9) months. For the cases of recurrence, one CS and two LSB were performed. No re-recurrence has yet been observed. Conclusions: The recurrence rate of our PSH repair was 38%, and the mean period before recurrence was 6.7 months. Operative outcomes of LSB repairs were satisfactory.