Our Summary

This study compared two surgical methods for repairing a type of hernia that occurs around a surgically created opening in the body (parastomal hernia). The two methods were an open surgery approach and a laparoscopic approach, which uses smaller incisions and a camera to guide the surgery. The research looked at 62 patients who had these surgeries between 2009 and 2017.

The study found that the laparoscopic approach had several advantages over the open surgery approach. It was quicker, patients stayed in the hospital for a shorter time, there were fewer complications with the surgical wound, and the repair lasted longer. However, the open surgery approach was more likely to include relocating the surgical opening.

The study suggests that using a laparoscopic approach to repair parastomal hernias could be a better option, but more research is needed to confirm these findings and to better understand how to make this type of hernia repair more effective and safer.

FAQs

  1. What are the two surgical methods compared in this study for repairing parastomal hernias?
  2. What were the advantages of the laparoscopic approach compared to the open surgery approach in repairing parastomal hernias?
  3. What does the study suggest about the use of a laparoscopic approach for parastomal hernia repair?

Doctor’s Tip

A helpful tip a doctor might tell a patient about hernia repair is to discuss with their surgeon the possibility of using a laparoscopic approach for the surgery, especially for parastomal hernias. This method has been shown to have faster recovery times, fewer complications, and longer-lasting repairs compared to open surgery. It is important for patients to be informed about all their options and to work with their healthcare team to determine the best approach for their individual situation.

Suitable For

Patients who are typically recommended for hernia repair include those with symptomatic hernias that cause pain, discomfort, or other complications, as well as patients with large or complicated hernias that are at risk of becoming incarcerated or strangulated. Additionally, patients who are otherwise healthy and able to tolerate surgery are good candidates for hernia repair. It is important for patients to discuss their individual medical history and surgical options with their healthcare provider to determine the best approach for their specific situation.

Timeline

Before the hernia repair surgery, a patient typically experiences symptoms such as pain, discomfort, bulging around the surgical opening, and possible complications like bowel obstruction or strangulation. They may have already undergone previous surgeries that led to the development of the hernia.

After the hernia repair surgery, the patient will likely experience some pain, swelling, and discomfort at the surgical site. They will need to follow post-operative care instructions such as avoiding heavy lifting, taking prescribed pain medication, and attending follow-up appointments with their surgeon. Over time, the patient should experience improvement in their symptoms and a reduction in the risk of complications associated with the hernia.

What to Ask Your Doctor

  1. What type of hernia do I have and why do I need surgery to repair it?
  2. What are the risks and benefits of the open surgery approach versus the laparoscopic approach for my specific type of hernia?
  3. How experienced are you in performing both types of hernia repair surgeries?
  4. How long will the surgery take and how long will I need to stay in the hospital?
  5. What kind of recovery can I expect after the surgery and how soon can I return to normal activities?
  6. Are there any specific precautions or restrictions I need to follow after the surgery?
  7. What are the potential complications of this surgery and how will they be managed?
  8. Will I need any follow-up appointments or tests after the surgery?
  9. What is the success rate of each type of surgery in terms of preventing the hernia from recurring?
  10. Are there any alternative treatment options to surgery for my hernia?

Reference

Authors: Keller P, Totten CF, Plymale MA, Lin YW, Davenport DL, Roth JS. Journal: Surg Endosc. 2021 Jan;35(1):415-422. doi: 10.1007/s00464-020-07377-y. Epub 2020 Feb 6. PMID: 32030548