Unfortunately, hernias associated with ostomies have the highest recurrence rates for any of the abdominal wall surgeries performed by Dr. Dumanian. This includes colostomies, ileostomies, and ileal conduits for patients who have had their bladders removed. In general, Dr. Dumanian attempts to repair the site where the colostomy exits the abdominal wall. Typically, the entire ostomy is completely redone, and extra skin around the ostomy is tailored. The surgery usually involves the placement of a piece of prosthetic mesh. Of course, use of mesh has its own potential complications including possible infection and need for removal. Dr. Dumanian will need a CT scan to plan the procedure, and to make sure there are no other hernias or bowel problems that would need to be addressed.
In certain instances, the stoma will need to be moved from one side of the abdomen to the other. If this is the case in your situation, you will be referred back to your original surgeon, or to a similarly trained surgeon at Northwestern Memorial Hospital.