ArticleSurgical endoscopy2026
Operative management of recurrent parastomal hernias after transversus abdominis release: a single-center experience.
Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Robotic parastomal hernia repair with reinforced tissue matrix; lessons learned from our 74-patient cohort.Journal of abdominal wall surgery : JAWS · 2026Article
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Authors and funding
15 authors.
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No grant is acknowledged in the PubMed record.
Abstract
introductionParastomal hernia recurrences after repair utilizing a transversus abdominis release (TAR) with retromuscular mesh presents a challenging clinical situation with little data available for guidance. This descriptive study characterizes our center's experiences with operative management of recurrent parastomal hernias after TAR and associated outcomes.
methodsOpen parastomal hernia repairs with TAR performed at our institution from August 2014 through August 2023 were identified via the Abdominal Core Health Quality Collaborative (ACHQC) database and reviewed to assess for instances of recurrence and reoperation. Electronic medical records were reviewed to confirm supplement operative and follow-up details. Hernia characteristics, operative characteristics, and outcomes of cases for these recurrent cases were abstracted and analyzed.
resultsFollowing 172 open parastomal hernia repairs with TAR, 63 recurrences were identified, and 29 patients underwent 39 subsequent operations, as five patients required at least two reoperations for recurrence. Open redo retromuscular repair (25/39, 64%) was the most utilized operation, the most frequent final operation (23/29, 79%) and the open redo retromuscular Sugarbaker mesh orientation featured the lowest recurrence rate of ~ 5% at 1 year. All cases of primary repair or re-siting the stoma through previous retromuscular mesh required an additional operation for recurrence. Of the six patients (21%) who have avoided an open redo-RM repair, three have had a laparoscopic Sugarbaker, and two have had an open onlay.
conclusionWhile all utilized techniques demonstrate the ability to temporize patients, most patients with parastomal hernia recurrence after a TAR ultimately require an open redo retromuscular repair which appears to be the most definitive option.
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