Slovenská chirurgia 3/2013

Surgical treatment of parastomal hernia

Stoma construction is among standard surgical skills and is performed for many indications. Every stoma means huge impact on quality of life for patients even with great improvement in surgical technique and ostomy devices. All patients are very sensitive to compllication of stoma and the most frequent complication is parastomal hernia. Incidence reported in literature is very high and unacceptable, it is 30-70%. Surgical approach is very demanding on technical equipment and experiences of surgeon. Autor focuse on each surgical approach for treating this complication wether it´s using mesh or laparoscopic or open approach.

Keywords: stoma, parastomal hernia, Sugarbaker, keyhole, mesh.