Advertisement

Hernia

pp 1–4 | Cite as

A survey on practices for parastomal hernia prevention and repair among ESCP surgeons

  • M. I. Aslam
  • I. Rubio-PerezEmail author
  • N. J. Smart
  • B. Singh
  • on behalf of European Society of Coloproctology Education Committee
Letter to the Editor

Dear Editor,

Parastomal hernia (PSH) remains an unsolved problem for colorectal surgeons. The creation of a stoma alters the container function and equilibrium of the abdominal wall, and some degree of herniation always occurs. If we add risk factors such as age, obesity, chronic pulmonary conditions and cancer, which are commonly present in patients that receive a stoma, the incidence of hernia increases dramatically. Symptomatic PSH can highly affect the patient’s quality of life, conditioning pain, bulging, stoma appliance leaks and skin problems.

The surgical repair of these hernias can be challenging, considering the weakened abdominal wall, the use of meshes in a contaminated environment and sometimes the need to completely re-site the stoma. In some cases of high-risk patients with comorbidities, conservative treatment is even proposed over surgery. The optimal technique to repair PSH, the optimal mesh or fixation type is still unclear, and the studies comparing various...

Notes

Acknowledgements

The authors would like to thank the European Society of Coloproctology (ESCP) for their support and all the members who answered the survey.

Funding

This survey received no funding.

Compliance with ethical standards

Conflict of interest

All the authors have completed the ICMJE COI forms. MIA declares no conflict of interest. IRP reports personal fees from Medtronic, personal fees from MSD, outside the submitted work. NS reports grants from UK National Institute of Health Research, during the conduct of the study; personal fees from Medtronic, personal fees from WL Gore, outside the submitted work. BS declares no conflict of interest.

Ethical approval

Approval from the institutional review Board was not required for this study (based on anonymous questionnaires to surgeons).

Human and animal rights

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

For this anonymous and voluntary questionnaire that did not involve patients, formal consent is not required.

References

  1. 1.
    Zhu J, Pu Y, Yang X et al (2016) Prophylactic mesh application during colostomy to prevent parastomal hernia: a meta-analysis. Gastroenterol Res Pract.  https://doi.org/10.1155/2016/1694265 (PubMed PMID: 27818679; PubMed Central PMCID: PMC5080498) Google Scholar
  2. 2.
    Antoniou SA, Agresta F, Garcia Alamino JM et al (2018) European Hernia Society guidelines on prevention and treatment of parastomal hernias. Hernia 22:183–198.  https://doi.org/10.1007/s10029-017-1697-5 (PubMed PMID: 29134456) CrossRefPubMedGoogle Scholar
  3. 3.
    ACPGBI Parastomal Hernia Group (2018) Prevention and treatment of parastomal hernia: a position statement on behalf of the Association of Coloproctology of Great Britain and Ireland. Colorectal Dis  https://doi.org/10.1111/codi.14249 (PubMed PMID: 30176120) Google Scholar
  4. 4.
    Mitura K, Dąbrowiecki S, Śmietański M, Matyja A (2017) Do we need changes in the organization of training in the hernia treatment in Poland? A survey on the acknowledgment of the recommendations of international hernia societies by surgeons. Pol Przegl Chir 89:12–18  https://doi.org/10.5604/01.3001.0010.5406 (PubMed PMID: 29154246) CrossRefPubMedGoogle Scholar
  5. 5.
    Furnée EJ, Smith CD, Hazebroek EJ (2015) The use of mesh in laparoscopic large hiatal hernia repair: a survey of european surgeons. Surg Laparosc Endosc Percutan Tech; 25:307–311.  https://doi.org/10.1097/SLE.0000000000000162 (PubMed PMID: 26018050) CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag France SAS, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Colorectal SurgeryUniversity Hospitals of Leicester NHS TrustLeicesterUK
  2. 2.Education CommitteeEuropean Society of Coloproctology (ESCP)LondonUK
  3. 3.Colorectal Surgery Unit, Department of General SurgeryHospital Universitario La PazMadridSpain
  4. 4.Department of Colorectal SurgeryRoyal Devon and Exeter NHS Foundation TrustExeterUK

Personalised recommendations