Minimizing the risk of early symptomatic parastomal herniation

No matter how meticulously a stoma trephine is constructed, the surgeon has in fact created an iatrogenic hernia. Over the last decade much effort has been devoted to looking at different trephines, including the use of prophylactic mesh placed at the primary operation. Two new trials have reported important results. The Stoma-Const randomised trial recently reported the use of differing surgical techniques to reduce stoma related complications.