Annals of Coloproctology

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Surgical Treatment of a Parastomal Hernia: Seung Chul Heo, Heung-Kwon Oh, Yoon Suk Song, Mi Sun Seo, Eun Kyung Choe, Seungbum Ryoo, Kyu Joo Park; J Korean Soc Coloproctol. 2011;27(4):174-179. Published online August 31, 2011; DOI: https://doi.org/10.3393/jksc.2011.27.4.174

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Purpose

Parastomal hernia is a major complication of an intestinal stoma. This study was performed to compare the results of various operative methods to treat parastomal hernias.

Methods

Results of surgical treatment for parastomal hernias (postoperative recurrence, complications and postoperative hospital stays) were surveyed in 39 patients over an 11-year period. The patients enrolled in this study underwent surgery by a single surgeon to exclude surgeon bias.

Results

Seventeen patients were male, and twenty-two patients were female. The mean age was 65.9 years (range, 36 to 86 years). The stomas were 35 sigmoid-end-colostomies (90%), 2 loop-colostomies (5%), and 2 double-barrel-colostomies. Over half of the hernias developed within two years after initial formation. Stoma relocation was performed in 8 patients, suture repair in 14 patients and mesh repair in 17 patients. Seven patients had recurrence of the hernia, and ten patients suffered from complications. Postoperative complications and recurrence were more frequent in stoma relocation than in suture repair and mesh repair. Emergency operations were performed in four patients (10.3%) with higher incidence of complications but not with increased risk of recurrence. Excluding emergency operations, complications of relocations were not higher than those of mesh repairs. Postoperative hospital stays were shortest in mesh repair patients.

Conclusion

In this study, mesh repair showed low recurrence and a low complication rate with shorter hospital stay than relocation methods, though these differences were not statistically significant. Further studies, including randomized trials, are necessary if more reliable data on the surgical treatment of parastomal hernias are to be obtained.

Citations

Citations to this article as recorded by

Long-term outcomes after open parastomal hernia repair at a high-volume center
Alexis M. Holland, William R. Lorenz, Brittany S. Mead, Gregory T. Scarola, Vedra A. Augenstein, B. Todd Heniford, Monica E. Polcz
Surgical Endoscopy.2025; 39(1): 639. CrossRef
Parastomal Hernia: direct repair versus relocation: is stoma relocation worth the risk? A comparative meta-analysis and systematic review
Ahmed Abdelsamad, Mohammed Khaled Mohammed, Mohamed Badr Almoshantaf, Aya Alrawi, Ziad A. Fadl, Ziad Tarek, Nada Osama Aboelmajd, Torsten Herzog, Florian Gebauer, Nada K. Abdelsattar, Taha Abd-ElSalam Ashraf Taha
Updates in Surgery.2025;[Epub] CrossRef
Outcomes of surgical techniques for parastomal hernia repair: a bayesian network meta-analysis
Jose Martín-Arévalo, Victoria Alejandra Lopez-Callejon, David Moro-Valdezate, Stephanie Anne Garcia-Botello, Leticia Perez-Santiago, Monica Millan, Fernando Lopez-Mozos, Guillermo Lillo-Albert, Julieta Puente-Monserrat, Vicente Pla-Marti
Hernia.2025;[Epub] CrossRef
Stoma-Related Complications: A Single-Center Experience and Literature Review
Zalán Benedek, Loránd Kocsis, Orsolya Bauer, Nicolae Suciu, Sorin Sorlea, Călin Crăciun, Rareș Georgescu, Marius Florin Coroș
Journal of Interdisciplinary Medicine.2022; 7(2): 31. CrossRef
The Association of Coloproctology of Great Britain and Ireland consensus guidelines in emergency colorectal surgery
Andrew S. Miller, Kathryn Boyce, Benjamin Box, Matthew D. Clarke, Sarah E. Duff, Niamh M. Foley, Richard J. Guy, Lisa H. Massey, George Ramsay, Dominic A. J. Slade, James A. Stephenson, Phil J. Tozer, Danette Wright
Colorectal Disease.2021; 23(2): 476. CrossRef
Prevention and treatment of parastomal hernia: a position statement on behalf of the Association of Coloproctology of Great Britain and Ireland

Colorectal Disease.2018; 20(S2): 5. CrossRef
Repair of complex parastomal hernias
G. S. Hwang, M. H. Hanna, J. C. Carmichael, S. D. Mills, A. Pigazzi, M. J. Stamos
Techniques in Coloproctology.2015; 19(3): 127. CrossRef
Systematic review of open techniques for parastomal hernia repair
J. Al Shakarchi, J. G. Williams
Techniques in Coloproctology.2014; 18(5): 427. CrossRef
Korrektur der parastomalen Hernie mit Netz
A. Lampel, N. Runkel
Der Urologe.2012; 51(7): 965. CrossRef
Analysis of Risk Factors for the Development of Incisional and Parastomal Hernias in Patients after Colorectal Surgery
In Ho Song, Heon-Kyun Ha, Sang-Gi Choi, Byeong Geon Jeon, Min Jung Kim, Kyu Joo Park
Journal of the Korean Society of Coloproctology.2012; 28(6): 299. CrossRef

Management of Appendicitis Presenting with Abscess or Mass: Jeong-Ki Kim, Seungbum Ryoo, Heung-Kwon Oh, Ji Sun Kim, Rumi Shin, Eun Kyung Choe, Seung-Yong Jeong, Kyu Joo Park; J Korean Soc Coloproctol. 2010;26(6):413-419. Published online December 31, 2010; DOI: https://doi.org/10.3393/jksc.2010.26.6.413

9,616 View
77 Download
29 Citations

Abstract PDF

Purpose

Management strategy in acute appendicitis patients initially presenting with abscess or mass is surrounded with controversy. This study was performed to identify the outcomes of management for this condition.

Methods

We retrospectively analyzed prospectively registered 76 patients (male:female = 39:37; mean age, 50.8 years) with appendicitis presenting with abscess or mass over a 9-year period at the Seoul National University Hospital. Patients were divided into three groups (emergency operation group, delayed operation group, and follow-up group), and clinical characteristics and outcomes of treatment were investigated.

Results

Twenty-eight patients (36.8%) underwent an emergency operation. Of the remaining 48 patients, 20 (41.7%) were initially treated with conservative management through the use of antibiotics only; the other 28 (58.3%) with and additional ultrasound-guided percutaneous drainage of the abscess. Twenty-six (54.2%) patients underwent planned operations after conservative management, and 22 (45.8%) were followed without surgery (median duration, 37.8 month), of which 3 (13%) underwent an appendectomy due to recurrent appendicitis (mean of 56.7 days after initial attack). There were no statistical differences in types of operation performed (appendectomy or ileocecectomy), postoperative complications, and postoperative hospital stay among the patients who underwent emergency operations, delayed operations and operations for recurrence during follow-up.

Conclusion

Although the recurrence rate was relatively low after conservative management for appendicitis patients presenting with abscess or mass, there was no difference in surgical outcome between the emergent, elective, or recurrent groups. Our results indicate that proper management of appendicitis with abscess or mass can be selected according to surgeon's preference.

Citations

Citations to this article as recorded by

Primary non-surgical treatment in pediatric complicated appendicitis: does abscess size matter?
Merle Koerner, Safiullah Najem, Nariman Mokhaberi, Vasileios Vasileiadis, Annette Aigner, Julia Elrod, Konrad Reinshagen, Ingo Koenigs
Journal of Pediatric Surgery Open.2026; 14: 100262. CrossRef
High Diagnostic Accuracy but Persistent Risk of Complicated Appendicitis: A Retrospective Analysis from Hail Province, Saudi Arabia
Alfatih Mohamed Ahmed Aljanib, Faisal Fawaz Alshammari, Fahad Maiyah Alshammari, Ali Ahmed Alqahtani, Bandar Alsaif, Jerold C. Alcantara, Abdulaziz Bin Ali Alshammari, Talal Alharazi
International Journal of Applied & Basic Medical Research.2025; 15(2): 85. CrossRef
A Case of Appendiceal Pinworms in an Adolescent Patient
Zachary S Kauffman, David L Stuart
Cureus.2025;[Epub] CrossRef
From Bedside to Bot-Side: Artificial Intelligence in Emergency Appendicitis Management
Koray Ersahin, Sebastian Sanduleanu, Sithin Thulasi Seetha, Johannes Bremm, Cavid Abbasli, Chantal Zimmer, Tim Damer, Jonathan Kottlors, Lukas Goertz, Christiane Bruns, David Maintz, Nuran Abdullayev
Life.2025; 15(9): 1387. CrossRef
Comparison of outcomes of nonoperative management with versus without interval appendectomy for periappendiceal abscess in Korea: a retrospective cohort study
Jae Gil Lee, Chang Sung Park, Im Kyung Kim
Journal of Acute Care Surgery.2025; 15(3): 108. CrossRef
Study on the Curative Effect of Different Treatment Methods on 122 Cases of Periappendiceal Abscess
哲魁刘
Advances in Clinical Medicine.2024; 14(03): 85. CrossRef
Early Surgical Management of Appendicular Mass: Evaluation of Surgical Outcome in Selected Private and Government Hospitals, Bangladesh
Jahangir Sarwar, Abul Shamsuddin, Sirajam Munira
Clinical Medicine Research.2024; 13(3): 33. CrossRef
Failure to Significantly Reduce Radiation Exposure in Children with Suspected Appendicitis in the United States
Charbel Chidiac, Oussama Issa, Alejandro V. Garcia, Daniel S. Rhee, Mark B. Slidell
Journal of Pediatric Surgery.2024; 59(12): 161701. CrossRef
Intra-abdominal abscesses: Microbiological epidemiology and empirical antibiotherapy
F. Méchaï, A. Kolakowska, E. Carbonnelle, O. Bouchaud, C. Tresallet, F. Jaureguy
Infectious Diseases Now.2023; 53(1): 104604. CrossRef
Upfront appendectomy vs interval appendectomy in acute appendicitis with mass formation in pediatric age group: Little difference in major outcome
Hussam Widatella, Ahmed Abdulmanan, Ibraheem Abdelraheem, Fadi Atwan, Sri Paran
Journal of Pediatrics & Neonatal Care.2023; 13(2): 137. CrossRef
Diagnosis and treatment of appendicitis: systematic review and meta-analysis
Ryan Lamm, Sunjay S. Kumar, Amelia T. Collings, Ivy N. Haskins, Ahmed Abou-Setta, Nisha Narula, Pramod Nepal, Nader M. Hanna, Dimitrios I. Athanasiadis, Stefan Scholz, Joel F. Bradley, Arianne T. Train, Philip H. Pucher, Francisco Quinteros, Bethany Slate
Surgical Endoscopy.2023; 37(12): 8933. CrossRef
Thigh and iliopsoas abscess as a rare presentation of perforated mucinous appendix carcinoma. A case report
Pedro Osácar, Darío Ramallo, Luisina Elizalde
International Journal of Surgery Case Reports.2022; 96(C): 107293. CrossRef
Early versus delayed (interval) appendicectomy for the management of appendicular abscess and phlegmon: a systematic review and meta-analysis
Akinfemi A. Akingboye, Fahad Mahmood, Shafquat Zaman, Jenny Wright, Fatima Mannan, Ali Yasen Y. Mohamedahmed
Langenbeck's Archives of Surgery.2021; 406(5): 1341. CrossRef
Potential Benefit of Nonsurgical Management to Periappendicular Abscess
Chris Li, Dean Owyang
JAMA Surgery.2019; 154(9): 882. CrossRef
Potential Benefit of Nonsurgical Management to Periappendicular Abscess—Reply
Paulina Salminen, Jari Mällinen, Tero Rautio
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Clinical outcomes of single‐site laparoscopic interval appendectomy for severe complicated appendicitis: Comparison to conventional emergency appendectomy
Masaaki Miyo, Shoichiro Urabe, Satoshi Hyuga, Tomo Nakagawa, Toshiya Michiura, Nobuyasu Hayashi, Kazuo Yamabe
Annals of Gastroenterological Surgery.2019; 3(5): 561. CrossRef
Comparison of treatment methods of appendiceal mass and abscess: A prospective Cohort Study
Zaza Demetrashvili, George Kenchadze, Irakli Pipia, Kakhi Khutsishvili, David Loladze, Eka Ekaladze, Giorgi Merabishvili, George Kamkamidze
Annals of Medicine and Surgery.2019; 48: 48. CrossRef
MANAGEMENT OF APPENDICULAR LUMP AT TERTIARY CARE HOSPITAL
Ishfaq Ahmad Gilkar, Umer Mushtaq, Javid Ahmad Peer, Bilal Ahmed Mir, Yaqoob Hassan, Waseem Ahmad Dar
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Farooq Ahmed, Ravindra G Devani, Mohammed Moinuddin, Mohd. Ashfaq Ahmed
Journal of Evidence Based Medicine and Healthcare.2018; 5(11): 997. CrossRef
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The Surgeon.2017; 15(2): 109. CrossRef
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World Journal of Emergency Surgery.2017;[Epub] CrossRef
Minimally Invasive Treatment for Appendiceal Mass Formed After Acute Perforated Appendicitis
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Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2017; 27(3): 132. CrossRef
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The Journal of Minimally Invasive Surgery.2017; 20(4): 129. CrossRef
The management of intra-abdominal infections from a global perspective: 2017 WSES guidelines for management of intra-abdominal infections
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Surgical Endoscopy.2016; 30(11): 4668. CrossRef
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International Surgery.2015; 100(6): 1021. CrossRef
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