What is a Parastomal Hernia?
A parastomal hernia is a type of incisional hernia that occurs when a section of the intestine protrudes through a surgical incision made during a gastrointestinal procedure, also known as a stoma. Unfortunately, hernias associated with ostomies have the highest recurrence rates of 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.
Parastomal Hernia Repair
In general, Dr. Dumanian attempts to repair the site where the colostomy exits the abdominal wall. Typically, the entire ostomy is completely redone and the extra skin around the ostomy is tailored. Parastomal hernia surgery usually involves that placement of a piece of prosthetic mesh. 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.