Prosthetic mesh repair for large paracolostomy hernia

Abstract EN

Paracolostomy hernias are a relatively common complication of ostomy construction.

The aim of this prospective study is to determine the prevalence of paracolostomy hernia at NCI, as well as evaluation of intra-abdominal prosthetic mesh repair of Byers with some modification.

The prevalence of paracolostomy hernia was 27.3 %.

Twenty patients underwent paracolostomy hernia repair between July 1996 and June 1999.

The main outcome measures were hernia recurrence together with short and long term complications.

After a mean follow-up of 26 ± 10 months, only 3 patients developed hernia recurrence.

Two patients developed wound sepsis at the laparotomy incision and 2 other patients developed sepsis at ostomy site after excision of excess skin.

None of them warranted mesh removal for wound infection.

No other ostomy problems such as prolapse, fistulization, stenosis or retraction has resulted after successful repair.

This method of paracolostomy hernia repair is technically easy and has excellent results.

It is especially suitable in very large hernias