Patient reoperations for late complications of surgical treatment of parastomal hernias - own experience

Pol Przegl Chir. 2012 Oct;84(10):495-501. doi: 10.2478/v10035-012-0084-2.

Abstract

Parastomal hernias continue to be a significant clinical problem. Use of a synthetic material results in the best results of treatment of this pathology. However, treatment results are still unsatisfactory. The aim of the study is to present 6 cases of late complications of treatment of parastomal hernia using synthetic material, with successful surgical treatment.

Material and methods: Among 52 surgical procedures of parastomal hernia repair using a synthetic material, 6 patients underwent late reoperation, including 4 women. Six reoperations were performed due to complications of parastomal hernia repair.

Results: All cases of reoperation are presented and discussed in the study in order in which parastomal hernia repair procedures were performed.

Conclusions: Presentation of 6 cases of patients treated for complications of the parastomal hernia repair procedure indicates that surgical technique of repair of this pathology is far from being perfect, although there has been a significant progress in this area over the past 20 years.

MeSH terms

  • Female
  • Follow-Up Studies
  • Hernia, Ventral / etiology
  • Hernia, Ventral / surgery*
  • Humans
  • Male
  • Postoperative Complications*
  • Recurrence
  • Reoperation
  • Surgical Mesh / adverse effects
  • Surgical Stomas / adverse effects*
  • Treatment Outcome