Peer-reviewed veterinary case report
A novel technique created for parastomal hernia repair from a hybridisation model of published evidence: The SSIMPLE approach.
By Venkateswaran R et al.·2026·Department of General and Colorectal Surgery, United Kingdom·View original on Europe PMC →
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Plain-English summary
Parastomal hernias are a common problem that can occur after surgery to create an opening for waste removal, like an ileostomy or colostomy. This new technique, called the SSIMPLE approach, aims to repair these hernias in a less invasive way by using a special mesh and only working through the existing stoma opening, which means fewer cuts and potentially less recovery time. The authors tested this method on two cases, one with an ileostomy and one with a colostomy, and found it to be feasible and effective. They believe this approach combines the best parts of other techniques while reducing their downsides. Overall, the treatment showed promise in these initial cases.
Abstract
<h4>Abstract</h4>The treatment of parastomal hernias (PSH) represents a major challenge in hernia surgery. Various techniques have been reported with different outcomes in terms of complication and recurrence rates. Most of the techniques have certain advantages and disadvantages. The aim of this manuscript is to describe our novel approach to have created a new technique for repair of PSH associated with end stomas. This is an "existing orifice" least invasive surgery that combines the advantages of most of the recognised procedures while minimizing the drawbacks of each and at the same time making it reproducible in safe hands, using the DynaMesh- IPST 3D funnel mesh made of polyvinylidene fluoride (PVDF). With these points in mind, we present the SSIMPLE approach (Stomal access Sublay IPST Mesh repair of ParastomaL hErnia). This is a technique-oriented paper where we offer feasibility, proof of concept in 2 cases with images and illustrations prior to adopting this in a wider cohort. This includes one PSH associated with end ileostomy and one with end colostomy. This also utilises the sac of the parastomal hernia with no other incisions apart from the existing stoma orifice.
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Search related cases →Original publication on Europe PMC: https://europepmc.org/article/MED/41821379