Clinical Challenges in Hernia Surgery: Parastomal Hernias

Parastomal hernias are some of the toughest cases in abdominal wall reconstruction. Join Drs. Ajita Prabhu, Lucas Beffa, Sara Maskal and Ryan Ellis as they talk through their approach to these difficult cases.  

Hosts:  
- Ajita Prabhu, MD, Cleveland Clinic, @aprabhumd1 
- Lucas Beffa, MD, Cleveland Clinic, @BeffaLukeMD 
- Ryan Ellis, MD, Cleveland Clinic, @EllisMD2020 
- Sara Maskal, MD, Cleveland Clinic 

Learning Objectives: 
- Review anatomy of parastomal abdominal wall hernias 
- Review perioperative pitfalls and tips for staying out of trouble 
- Review common surgical approaches to repair 

References: 
- Maskal SM, Ellis RC, Miller BT. Parastomal hernia repair, trying to optimize the impossible reconstruction. Hernia. 2024 Apr 28:1-6. https://pubmed.ncbi.nlm.nih.gov/38678529/
- Maskal SM, Thomas JD, Miller BT, Fafaj A, Zolin SJ, Montelione K, Ellis RC, Prabhu AS, Krpata DM, Beffa LR, Costanzo A. Open retromuscular keyhole compared with Sugarbaker mesh for parastomal hernia repair: Early results of a randomized clinical trial. Surgery. 2024 Mar 1;175(3):813-21.
https://pubmed.ncbi.nlm.nih.gov/37770344/

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  

If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen