Parastomal hernia

Short-Term outcome after laparoscopic and conventional repairs

Elisabeth C. McLemore, Kristi L. Harold, Jonathan Efron, Bernadette U. Laxa, Tonia M. Young-Fadok, Jacques P. Heppell

Research output: Contribution to journalArticle

Abstract

The purpose of this study was to evaluate the short-term outcomes after laparoscopic and conventional parastomal hernia repairs. A retrospective review of parastomal hernia repairs was performed. Conventional repairs included primary suture repair, stoma relocation, and mesh repair. Laparoscopic repairs included the Sugarbaker and keyhole techniques. Forty-nine patients underwent repair of symptomatic parastomal hernias: 19 ileostomies, 13 colostomies, and 17 urostomies. Thirty patients underwent 39 conventional repairs. Nineteen patients underwent laparoscopic surgical repairs. Operative times were longer for laparoscopic repair (208 ± 58 vs 162 ± 114 minutes, P = .06). The mean length of stay was 6 days for both groups (P = .74). The mean follow-up was shorter in the laparoscopic group (20 vs 65 months, P ≤ .001). There were no significant differences in the incidence of surgical site infections (11% laparoscopic vs 5% conventional, P = .60) or complication rates (63% laparoscopic vs 36% conventional, P = .67). Laparoscopic parastomal hernia repair is a feasible operation with similar short-term outcomes to conventional repairs.

Original languageEnglish (US)
Pages (from-to)199-204
Number of pages6
JournalSurgical Innovation
Volume14
Issue number3
DOIs
StatePublished - Sep 2007
Externally publishedYes

Fingerprint

Herniorrhaphy
Hernia
Surgical Wound Infection
Ileostomy
Colostomy
Operative Time
Sutures
Length of Stay
Incidence

Keywords

  • Keyhole
  • Laparoscopy
  • Parastomal hernia repair
  • Sugarbaker

ASJC Scopus subject areas

  • Surgery

Cite this

McLemore, E. C., Harold, K. L., Efron, J., Laxa, B. U., Young-Fadok, T. M., & Heppell, J. P. (2007). Parastomal hernia: Short-Term outcome after laparoscopic and conventional repairs. Surgical Innovation, 14(3), 199-204. https://doi.org/10.1177/1553350607307275

Parastomal hernia : Short-Term outcome after laparoscopic and conventional repairs. / McLemore, Elisabeth C.; Harold, Kristi L.; Efron, Jonathan; Laxa, Bernadette U.; Young-Fadok, Tonia M.; Heppell, Jacques P.

In: Surgical Innovation, Vol. 14, No. 3, 09.2007, p. 199-204.

Research output: Contribution to journalArticle

McLemore, EC, Harold, KL, Efron, J, Laxa, BU, Young-Fadok, TM & Heppell, JP 2007, 'Parastomal hernia: Short-Term outcome after laparoscopic and conventional repairs', Surgical Innovation, vol. 14, no. 3, pp. 199-204. https://doi.org/10.1177/1553350607307275
McLemore, Elisabeth C. ; Harold, Kristi L. ; Efron, Jonathan ; Laxa, Bernadette U. ; Young-Fadok, Tonia M. ; Heppell, Jacques P. / Parastomal hernia : Short-Term outcome after laparoscopic and conventional repairs. In: Surgical Innovation. 2007 ; Vol. 14, No. 3. pp. 199-204.
@article{739cd77685804a3491863b548110aeb0,
title = "Parastomal hernia: Short-Term outcome after laparoscopic and conventional repairs",
abstract = "The purpose of this study was to evaluate the short-term outcomes after laparoscopic and conventional parastomal hernia repairs. A retrospective review of parastomal hernia repairs was performed. Conventional repairs included primary suture repair, stoma relocation, and mesh repair. Laparoscopic repairs included the Sugarbaker and keyhole techniques. Forty-nine patients underwent repair of symptomatic parastomal hernias: 19 ileostomies, 13 colostomies, and 17 urostomies. Thirty patients underwent 39 conventional repairs. Nineteen patients underwent laparoscopic surgical repairs. Operative times were longer for laparoscopic repair (208 ± 58 vs 162 ± 114 minutes, P = .06). The mean length of stay was 6 days for both groups (P = .74). The mean follow-up was shorter in the laparoscopic group (20 vs 65 months, P ≤ .001). There were no significant differences in the incidence of surgical site infections (11{\%} laparoscopic vs 5{\%} conventional, P = .60) or complication rates (63{\%} laparoscopic vs 36{\%} conventional, P = .67). Laparoscopic parastomal hernia repair is a feasible operation with similar short-term outcomes to conventional repairs.",
keywords = "Keyhole, Laparoscopy, Parastomal hernia repair, Sugarbaker",
author = "McLemore, {Elisabeth C.} and Harold, {Kristi L.} and Jonathan Efron and Laxa, {Bernadette U.} and Young-Fadok, {Tonia M.} and Heppell, {Jacques P.}",
year = "2007",
month = "9",
doi = "10.1177/1553350607307275",
language = "English (US)",
volume = "14",
pages = "199--204",
journal = "Surgical Innovation",
issn = "1553-3506",
publisher = "SAGE Publications Inc.",
number = "3",

}

TY - JOUR

T1 - Parastomal hernia

T2 - Short-Term outcome after laparoscopic and conventional repairs

AU - McLemore, Elisabeth C.

AU - Harold, Kristi L.

AU - Efron, Jonathan

AU - Laxa, Bernadette U.

AU - Young-Fadok, Tonia M.

AU - Heppell, Jacques P.

PY - 2007/9

Y1 - 2007/9

N2 - The purpose of this study was to evaluate the short-term outcomes after laparoscopic and conventional parastomal hernia repairs. A retrospective review of parastomal hernia repairs was performed. Conventional repairs included primary suture repair, stoma relocation, and mesh repair. Laparoscopic repairs included the Sugarbaker and keyhole techniques. Forty-nine patients underwent repair of symptomatic parastomal hernias: 19 ileostomies, 13 colostomies, and 17 urostomies. Thirty patients underwent 39 conventional repairs. Nineteen patients underwent laparoscopic surgical repairs. Operative times were longer for laparoscopic repair (208 ± 58 vs 162 ± 114 minutes, P = .06). The mean length of stay was 6 days for both groups (P = .74). The mean follow-up was shorter in the laparoscopic group (20 vs 65 months, P ≤ .001). There were no significant differences in the incidence of surgical site infections (11% laparoscopic vs 5% conventional, P = .60) or complication rates (63% laparoscopic vs 36% conventional, P = .67). Laparoscopic parastomal hernia repair is a feasible operation with similar short-term outcomes to conventional repairs.

AB - The purpose of this study was to evaluate the short-term outcomes after laparoscopic and conventional parastomal hernia repairs. A retrospective review of parastomal hernia repairs was performed. Conventional repairs included primary suture repair, stoma relocation, and mesh repair. Laparoscopic repairs included the Sugarbaker and keyhole techniques. Forty-nine patients underwent repair of symptomatic parastomal hernias: 19 ileostomies, 13 colostomies, and 17 urostomies. Thirty patients underwent 39 conventional repairs. Nineteen patients underwent laparoscopic surgical repairs. Operative times were longer for laparoscopic repair (208 ± 58 vs 162 ± 114 minutes, P = .06). The mean length of stay was 6 days for both groups (P = .74). The mean follow-up was shorter in the laparoscopic group (20 vs 65 months, P ≤ .001). There were no significant differences in the incidence of surgical site infections (11% laparoscopic vs 5% conventional, P = .60) or complication rates (63% laparoscopic vs 36% conventional, P = .67). Laparoscopic parastomal hernia repair is a feasible operation with similar short-term outcomes to conventional repairs.

KW - Keyhole

KW - Laparoscopy

KW - Parastomal hernia repair

KW - Sugarbaker

UR - http://www.scopus.com/inward/record.url?scp=34848891571&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34848891571&partnerID=8YFLogxK

U2 - 10.1177/1553350607307275

DO - 10.1177/1553350607307275

M3 - Article

VL - 14

SP - 199

EP - 204

JO - Surgical Innovation

JF - Surgical Innovation

SN - 1553-3506

IS - 3

ER -