TPT 5.15 Parastomal Hernia Repair: Risk Factors, Operative Techniques, and Outcomes from a District General Hospital
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ID: 323925
2026
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Abstract
Abstract Introduction Parastomal hernias are challenging to manage and can lead to significant reductions in quality of life. This study examines parastomal hernia repairs in a hospital with a high volume of colorectal resections and stoma formations. Methods This observational study retrospectively analysed five years of data from 2020 to 2025 for patients undergoing parastomal hernia repair. The primary objective was to evaluate risk factors, predictive findings on CT imaging, operative techniques, and surgical outcomes. Results A total of 35 parastomal hernia repairs were performed: 8 emergency and 27 elective surgeries. Ages ranged from 33 to 83 years, with 20 males and 15 females. 6 were sutured repairs and 29 involved mesh repairs with Sugarbaker technique (41%), dynamic funnel (13%), SMART (13%) and simple onlay mesh (31%). Of the repairs, 54% were primary and 46% were for recurrent hernias. A statistically significant difference in body mass index (BMI) was observed between the primary- mean BMI 26 (range 22.7 to 44) and recurrent mean 34 (range 23.9 to 46.6) (p<0.05). Comorbidities, age, and sex did not significantly impact recurrence. CT findings including stoma passage through the rectus muscle, rectus muscle thickness, subcutaneous fat and psoas muscle index showed no significant differences between the groups. 2 patients had complications following surgery: stoma site infection and superficial ischaemia treated conservatively. Conclusion A high-volume district hospital is able to manage parastomal hernias with different techniques and good outcomes. BMI is a significant modifiable risk factor in the management and prevention of parastomal hernia recurrence.
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| Authors | Meera Goutham, Shreya Srikumar, Sandeep Singh |
| Journal | the british journal of surgery |
| Year | 2026 |
| DOI |
10.1093/bjs/znag087.225
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| URL | |
| Keywords | Keywords not found |
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