Incidence of parastomal hernia after open versus minimally invasive surgery: a comparative systematic review - Takeaways - MDSpire
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Comparing Parastomal Hernia Rates After Open and Minimally Invasive Surgery: A Systematic Review

  • By

  • V. Bellato

  • T. B. Moojen

  • J. A. H. Gooszen

  • Christianne J. Buskens

  • W. A. Bemelman

  • October 15, 2026

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  • 1

    Parastomal hernia is a common late complication of stoma formation, with reported incidence exceeding 30% at 1 year and reaching 58% depending on patient and stoma factors.

  • 2

    Peristomal bulging is not specific to parastomal hernia, and cross-sectional imaging is needed to distinguish it reliably from subcutaneous stomal prolapse.

  • 3

    The review compares parastomal hernia and stomal prolapse incidence after open versus minimally invasive intestinal resection with definitive stoma formation.

  • 4

    The review excluded studies involving prophylactic mesh, extraperitoneal stoma routing, or other techniques specifically intended to reduce parastomal hernia.

  • 5

    Heterogeneous definitions and the absence of a universally validated classification system limit comparisons and reliable distinction between parastomal hernia and subcutaneous stomal prolapse.

Original Source(s)

Incidence of parastomal hernia after open versus minimally invasive surgery: a comparative systematic review

  • by V. Bellato, T. B. Moojen, J. A. H. Gooszen, Christianne J. Buskens, W. A. Bemelman

  • October 15, 2026

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