Abstract:

Objective

To explore the experience in treatment of double lumen parastomal hernia.

Methods

Collect clinical data of 20 patients who underwent surgical treatment for double lumen parastomal hernia in the Department of Hernia and Abdominal Wall Surgery of Beijing Chaoyang Hospital from June 2020 to June 2024. Collect and analyze basic information and treatment data, including gender,age, length of hospital stay, chief complaint, diagnosis, surgical method, duration of surgery, and postoperative complications.

Results

All patients in this group successfully completed the surgery.Among them, 17 cases underwent laparoscopic combined with open surgery, 2 cases underwent complete laparoscopic surgery, and 1 case underwent complete open surgery. Eight cases underwent loop ileostomy stoma closure first: 3 cases underwent IPOM repair, 1 case underwent open surgery for Sublay repair, and 4 cases underwent displaced permanent colostomy with simple suturing repair. Nine patients underwent reconstruction of double lumen stoma into single lumen stoma before hernia repair, including 5 cases of Sugarbaker repair, 1 case of Keyhole repair, and 3 cases of simple suture repair. Three patients underwent laparoscopic repair of hernia while preserving the double lumen stoma.

Conclusion

The recommended treatment options for double lumen parastomal hernia include hernia repair after the stoma closure,changing to single lumen stoma for hernia repair, and retaining the double lumen stoma for hernia repair.Surgical recommendation is to place a mesh under laparoscopy to repair abdominal wall defects.

Key words: Parastomal hernia, Double lumen stoma, Surgical repair