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Is it safe to repair an incisional hernia along with stoma closure? An unsolved mystery - A Preliminary study | ||
| Basrah Journal of Surgery | ||
| Article 7, Volume 31, Issue 2, 2025, Pages 62-71 PDF (1.48 M) | ||
| Document Type: Original Article | ||
| DOI: 10.33762/basjsurg.2025.164853.1142 | ||
| Authors | ||
| Durgesh Goyal* 1; Shelly Goyal2; Anand Rai bansal3; Tapan SAhu4 | ||
| 1Senior resident, department of general surgery, PGIMS, Rohtak. | ||
| 2Senior resident,department of anaesthesia,PGIMS, Rohtak. | ||
| 3Senior professor, department of general surgery,, PGIMS, Rohtak.. | ||
| 4Junior resident, department of general surgery, PGIMS, Rohtak. | ||
| Abstract | ||
| Abstract Background: Incisional hernias frequently develop after abdominal surgeries, especially in patients with stomas, due to increased intra-abdominal pressure and impaired wound healing. Objective: To assess the safety and efficacy of simultaneous incisional hernia repair during stoma reversal. Methods: Twenty patients undergoing stoma reversal with concurrent primary repair of midline incisional hernias were included. Selection criteria involved the absence of active infection and medical suitability for a one-stage procedure. Postoperative outcomes, including complications and wound healing, were monitored. Results: No anastomotic leaks occurred. Twelve patients recovered uneventfully and were discharged by postoperative day 7. Minor wound discharge was observed in four patients, and localized collections appeared in three, all managed conservatively without fascial dehiscence. One patient developed a small fascial dehiscence, resolved with non-surgical management. Conclusion: Simultaneous stoma reversal and incisional hernia repair is a safe and effective option in appropriately selected patients, with low complication rates and favorable recovery. | ||
| Keywords | ||
| Peritonitis; Hernia; Surgical stoma | ||
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