ReviewJournal of abdominal wall surgery : JAWS2025
Non-Operative Considerations in Relation to Parastomal Hernia.
Review in Journal of abdominal wall surgery : JAWS, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Racial disparities in outcomes after parastomal hernia repair: a national analysis.Surgical endoscopy · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: Parastomal hernia (PSH) is a frequent and challenging complication following stoma formation. While operative repair remains an important option in selected cases, non-operative strategies are essential, particularly for asymptomatic patients or those with significant comorbidities. This narrative review aims to synthesize current evidence on conservative management of PSH and on selected perioperative supportive measures, outlining core components, limitations, and research priorities. Methods: A narrative review of the literature was conducted focusing on non-operative strategies in PSH, including watchful waiting, core training, abdominal support garments, stoma care, and psychosocial considerations. Relevant publications were identified through searches in PubMed and Google Scholar (2011-2025) and supplemented by expert consultation. Results: In patients with minimal symptoms, conservative approach is widely accepted, given that recurrence rates have been reported to be comparable between elective and emergency repairs. Physical activity and patient education are underexplored yet promising components in enhancing function and improving quality of life. The role of abdominal binders remains empirically supported but lacks high-quality, PSH-specific evidence. Stoma care optimization - and psychosocial support are critical to improving quality of life but remain underrepresented in clinical guidelines. Most available data are extrapolated from ventral and incisional hernia literature, underscoring the need for targeted PSH research. Conclusion: Non-operative management remains a cornerstone of PSH care, requiring an individualized, multidisciplinary approach. Non-operative strategies should emphasize structured follow-up, abdominal support, guided core training, appliance adaptation, and psychosocial wellbeing. Dedicated prospective studies are urgently needed to define evidence-based protocols specific to PSH.
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Registered trials
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.