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  • Title: Parastomal hernia repair.
    Author: O'Neill CH, Borrazzo EC, Hyman NH.
    Journal: J Gastrointest Surg; 2015 Apr; 19(4):766-9. PubMed ID: 25504464.
    Abstract:
    Parastomal herniation is a common clinical occurrence. Historically, there has been a high recurrence rate after repair, and conservative management is usually recommended for patients with mild symptoms. When operative intervention is warranted, we opt for a laparoscopic mesh sublay over the fascial defect and lateralization of the stoma limb, or the Sugarbaker technique. In patients who are considered poor risk for laparoscopy/laparotomy requiring repair, we perform a fascial onlay with mesh utilizing an anterior circumstomal approach.
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