Short-term outcomes with the use of bioprosthetics for the management of parastomal hernias.

Abstract

This study was undertaken to determine the safety and short-term outcomes using bioprosthetics for the management of parastomal hernias. A retrospective review of prospectively collected data for all of the patients who underwent repair of a parastomal hernia was conducted. Between April 2004 and September 2007, 20 consecutive patients had 22 parastomal hernias repaired through a midline incision using a bioprosthetic with the stoma entering the abdomen lateral to the graft. A colostomy was present in 17 patients; an ileostomy was present in 3 patients. All of the patients had parastomal hernia-related complications. Postoperatively there were no infections of the midline wound or the prosthetic, and none of the grafts were removed. There were 4 seromas (40%) that required aspiration in the 10 procedures performed before the routine placement of a drain. No incisional hernias have developed in the midline wound. There have been 2 (9%) recurrent parastomal hernias on physical examination at a median follow-up of 18 months (range, 12-54). These data suggest that bioprosthetics are safe and are effective in the short term for the repair of parastomal hernias.