Treatment of Parastomal Hernias

  • Zachary Sanford
  • Adam S. Weltz
  • Igor BelyanskyEmail author


Parastomal hernias are a dreaded yet common complication following the creation of a surgical stoma. Their repair represents a significant surgical challenge as the presence of functional bowel passing through the abdominal wall by means of an iatrogenic defect makes fascial continuity impossible to restore. Although surgical intervention was once associated with high rates of recurrence and significant postoperative complications, modern techniques for parastomal hernia repair through incorporation of mesh reinforcement and minimally invasive procedures have brought about improvements in the perioperative and postoperative course.


Surgical stoma Parastomal hernias Hernia formation Stoma relocation Primary repair Parastomal hernia mesh repair Onlay mesh Underlay mesh Transversus abdominis release Modified retrorectus Sugarbaker 


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Copyright information

© Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) 2019

Authors and Affiliations

  • Zachary Sanford
    • 1
  • Adam S. Weltz
    • 1
  • Igor Belyansky
    • 1
    Email author
  1. 1.Department of SurgeryAnne Arundel Medical CenterAnnapolisUSA

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