ArticleHernia : the journal of hernias and abdominal wall surgery2021
Outcomes of surgically managed recurrent parastomal hernia: the Sisyphean challenge of the hernia world.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- Parastomal Hernia: direct repair versus relocation: is stoma relocation worth the risk? A comparative meta-analysis and systematic review.Updates in surgery · 2026Pooled it
- Prophylactic mesh placement at index permanent end colostomy creation to prevent parastomal hernia-an updated meta-analysis.International journal of colorectal disease · 2021Pooled it
- Characterizing a clinically significant radiographic parastomal hernia recurrence: post hoc analysis of a randomized controlled trial.Surgical endoscopy · 2025Trial
- Short-term outcomes and risk factors for complications in robotic versus open parastomal hernia repair: a retrospective propensity score-matched analysis.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Operative management of recurrent parastomal hernias after transversus abdominis release: a single-center experience.Surgical endoscopy · 2026Article
- Beyond the Surface: The Critical Role of Interdisciplinary Collaboration in Managing Parastomal Hernias.Journal of abdominal wall surgery : JAWS · 2025Article
- The Local Parastomal Hernia (LoPa) Repair: A Novel Approach to Parastomal Hernia Repair.Journal of abdominal wall surgery : JAWS · 2025Article
- Surgical treatment strategy for recurrent parastomal hernia: Experiences from 17 cases.Frontiers in surgery · 2022Article
- Endoscopic Totally Extraperitoneal Repair of Parastomal Hernia: A Case Report.Frontiers in surgery · 2021Article
- Modified Laparoscopic Sugarbaker Repair of Parastomal Hernia With a Totally Extraperitoneal Technique.Frontiers in surgery · 2021Article
- A new anterior approach to parastomal hernia repair (PHR) with linear stapler suture: A case report.Annals of medicine and surgery (2012) · 2020Article
- The lateral rectus abdominis positioned stoma (LRAPS) trephine: the hope in Pandora's box.Hernia : the journal of hernias and abdominal wall surgery · 2020Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe management of a recurrent (symptomatic) parastomal hernia (PSH) presents a dilemma. The aim of this study was to review the outcome of patients who underwent a recurrent PSH repair.
methodsRetrospective review of consecutive patients undergoing recurrent PSH repairs at a single institution between 2010 and 2019. Primary outcome recorded was recurrence. Secondary outcomes recorded were 30-day post-operative complications, surgical site occurrence (SSO) incidence and to assess if EHS classification altered with each recurrence.
resultsThirty-eight patients underwent 59 recurrent PSH repairs during the study period. Median number of PSH repairs per patient from ostomy formation was 2 (2-8). Post-operative complications occurred following 52.5% of repairs. Recurrence rate for all recurrent PSH hernia repairs was 45.7%, with a median follow-up of 58 months (0-115). A trend was seen towards a shorter PSH recurrence-free survival in those who had at least two previous PSH repairs at the start of the study period when compared to those who had less. Recurrence was not associated with operative urgency, type of repair, mesh type or SSO occurrence. A significant decrease in recurrence was seen with retro-rectus mesh placement when compared to onlay (p = 0.003). EHS classification did not change between each recurrence in 70.8% of patients.
conclusionRecurrence rates after recurrent PSH repair are high. The recurrence-free survival was worse after the second or more attempt at repair for recurrence. Further studies are warranted to explore prophylaxis, optimal repair method, and where re-recurrence occurs, the benefit of repeated surgical intervention.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.