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The Local Parastomal Hernia (LoPa) Repair : A Novel Approach to Parastomal Hernia Repair

Al Mukhtar, Ali LU orcid ; Montgomery, Agneta LU ; Johnson, Kristin LU orcid ; Rogmark, Peder LU orcid ; Öberg, Stefan LU ; Vedin, Tomas LU ; Petersson, Ulf LU and Lydrup, Marie Louise LU (2026) In Journal of Abdominal Wall Surgery 4.
Abstract

Purpose: Surgical repair of parastomal hernias (PH) is challenging, mainly due to high recurrence rates. The Local Parastomal repair (LoPa) is a novel technique utilizing a retromuscular synthetic mesh with an outward-facing collar. This study describes the LoPa technique and evaluates its outcomes. Methods: This single-centre study retrospectively reviewed 39 consecutive patients who underwent LoPa repair for a PH between 2017 and 2021. Long-term follow-up, including physical examination and quality of life assessment, was conducted. The primary outcome was PH recurrence diagnosed clinically or by CT scan. Results: For the 39 patients included, the mean age and BMI were 71 years and 27 kg/m2, respectively. The most common... (More)

Purpose: Surgical repair of parastomal hernias (PH) is challenging, mainly due to high recurrence rates. The Local Parastomal repair (LoPa) is a novel technique utilizing a retromuscular synthetic mesh with an outward-facing collar. This study describes the LoPa technique and evaluates its outcomes. Methods: This single-centre study retrospectively reviewed 39 consecutive patients who underwent LoPa repair for a PH between 2017 and 2021. Long-term follow-up, including physical examination and quality of life assessment, was conducted. The primary outcome was PH recurrence diagnosed clinically or by CT scan. Results: For the 39 patients included, the mean age and BMI were 71 years and 27 kg/m2, respectively. The most common ASA score was III (48.7%). The median length of stay was 3 days with no Clavien-Dindo ≥4 complications observed. At a median follow-up of 47 months, the overall recurrence rate was 33.3% (12/36 patients). Postoperative general health status was comparable to the Swedish general population, though recurrence was associated with more pain and anxiety. Conclusion: The LoPa technique is a safe and feasible PH repair, offering low short-term morbidity and a short length of stay. It is an option for repairing isolated PH, especially in patients with comorbidities. While the 33.3% recurrence rate is a concern, it is comparable to other techniques with similar follow-up. These preliminary findings warrant validation in larger prospective trials.

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author
; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
hernia, mesh, parastomal hernia, parastomal hernia repair, technique
in
Journal of Abdominal Wall Surgery
volume
4
article number
15878
publisher
Frontiers Media S. A.
external identifiers
  • scopus:105029141464
  • pmid:41613008
ISSN
2813-2092
DOI
10.3389/jaws.2025.15878
language
English
LU publication?
yes
id
c887fdcf-ac34-465b-9d21-b3489cb59e82
date added to LUP
2026-02-20 14:59:29
date last changed
2026-05-02 03:24:48
@article{c887fdcf-ac34-465b-9d21-b3489cb59e82,
  abstract     = {{<p>Purpose: Surgical repair of parastomal hernias (PH) is challenging, mainly due to high recurrence rates. The Local Parastomal repair (LoPa) is a novel technique utilizing a retromuscular synthetic mesh with an outward-facing collar. This study describes the LoPa technique and evaluates its outcomes. Methods: This single-centre study retrospectively reviewed 39 consecutive patients who underwent LoPa repair for a PH between 2017 and 2021. Long-term follow-up, including physical examination and quality of life assessment, was conducted. The primary outcome was PH recurrence diagnosed clinically or by CT scan. Results: For the 39 patients included, the mean age and BMI were 71 years and 27 kg/m<sup>2</sup>, respectively. The most common ASA score was III (48.7%). The median length of stay was 3 days with no Clavien-Dindo ≥4 complications observed. At a median follow-up of 47 months, the overall recurrence rate was 33.3% (12/36 patients). Postoperative general health status was comparable to the Swedish general population, though recurrence was associated with more pain and anxiety. Conclusion: The LoPa technique is a safe and feasible PH repair, offering low short-term morbidity and a short length of stay. It is an option for repairing isolated PH, especially in patients with comorbidities. While the 33.3% recurrence rate is a concern, it is comparable to other techniques with similar follow-up. These preliminary findings warrant validation in larger prospective trials.</p>}},
  author       = {{Al Mukhtar, Ali and Montgomery, Agneta and Johnson, Kristin and Rogmark, Peder and Öberg, Stefan and Vedin, Tomas and Petersson, Ulf and Lydrup, Marie Louise}},
  issn         = {{2813-2092}},
  keywords     = {{hernia; mesh; parastomal hernia; parastomal hernia repair; technique}},
  language     = {{eng}},
  publisher    = {{Frontiers Media S. A.}},
  series       = {{Journal of Abdominal Wall Surgery}},
  title        = {{The Local Parastomal Hernia (LoPa) Repair : A Novel Approach to Parastomal Hernia Repair}},
  url          = {{http://dx.doi.org/10.3389/jaws.2025.15878}},
  doi          = {{10.3389/jaws.2025.15878}},
  volume       = {{4}},
  year         = {{2026}},
}