Peer-reviewed veterinary case report
Treatment of repeated parastomal hernia with stoma move and fat
By Mal R et al.·2025·Department of General Surgery·View original on Europe PMC →
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Original publication title: Recurrent Parastomal Hernia Treated With Stoma Relocation and Abdominal Lipectomy: A Case Report.
Plain-English summary
This case involves a 75-year-old woman who had surgery for rectal cancer and developed a complication called a parastomal hernia, which is a bulge near her colostomy (an opening created for waste to leave the body). After her first surgery to fix the hernia, it came back within six months. She then had a more complex surgery where they moved her stoma and reinforced the area with a special mesh. After this second surgery, she recovered well, and there were no signs of the hernia returning after six weeks. While this approach seems promising for similar cases, we can't yet say how long it will last or if the hernia might come back later.
Abstract
Parastomal hernia (PSH) remains a challenging complication following stoma formation, with recurrence rates remaining high despite advances in surgical techniques, including laparoscopic approaches. Recurrent PSH often necessitates complex reconstructive procedures to restore abdominal wall integrity. We report the case of a 75-year-old female with a history of abdominoperineal resection and permanent end colostomy for rectal cancer who developed a PSH nine years after her initial surgery. She underwent a laparoscopic Sugarbaker repair but experienced recurrence within six months. A subsequent open abdominal wall reconstruction was performed, including lipectomy, stoma relocation, and onlay reinforcement with a biosynthetic mesh, as dense intra-abdominal adhesions precluded retromuscular mesh placement. The postoperative course was uneventful, and no clinical or radiologic evidence of recurrence was observed at short-term follow-up of six weeks. This case highlights the technical challenges associated with laparoscopic repair in recurrent PSH and demonstrates that open reconstruction with stoma relocation and onlay mesh reinforcement may be a feasible option in selected complex cases. However, given the limited duration of follow-up, long-term durability and recurrence rates cannot be assessed.
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Search related cases →Original publication on Europe PMC: https://europepmc.org/article/MED/41613659