ABSTRACT

Background:

Developing parastomal hernia after formation an iloestomy or colostomy is more common. However, no consensus has been consisting on treatments of parastomal hernia. Up today, several treatment modalities have been proposed to treating or preventing of parastomal hernia. Despite the extensive effort, parastomal hernia is still a major challenge of surgery. Recently, more enthusiasm exists on laparoscopic repair of parastomal hernia. The aim of this study was to review of parastomal hernia and evaluate systemically of its laparoscopic repair.

Method:

A literature search using the ‘Pub Med Medline’ database was performed. Locating English language articles on parastomal hernia repair from 1970 to 2007 was searched manually and the appropriate studies was provided for further references.

Results:

A total of 17 laparoscopic parastomal hernia repair studies were yielded. Twelve of these were a case report, two of these prospective and the rest was retrospective study without comparison. A total number of patients were 145 and the mean follow-up was 10 months. In considering all studies results, longer operating time, shorter hospital stay, lower complications and recurrent rate were revealed for laparoscopic repair.

Conclusion:

Despite the results of laparoscopic parastomal hernia repair has shown better, it is too early to reporting absolute decision. The number of published Laparoscopic parastomal hernia repair studies is small. Furthermore, these studies have limited patients with shorter follow up. Well designed prospective randomized studies are required.