Stapled Transabdominal Ostomy Reinforcement with retromuscular mesh (STORRM): Technical details and early outcomes of a novel approach for retromuscular repair of parastomal hernias

Arnab Majumder, Sean B. Orenstein, Heidi J. Miller, Yuri W. Novitsky

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Background Parastomal hernia repair (PHR) remains a challenge with no optimal repair technique. During retromuscular hernia repair, traversing the stomal conduit through the abdominal wall can result in angulation and compression. Widening of traditional cruciate incisions in mesh and/or fascia likely contributes to recurrences. To address these pitfalls, the Stapled Transabdominal Ostomy Reinforcement with Retromuscular Mesh (STORRM) technique utilizing a circular stapler was developed. Methods A prospective registry of consecutive patients undergoing STORRM was analyzed. We characterized demographics, hernia characteristics, and perioperative results. Primary outcomes were complications, surgical site events (SSEs) and hernia recurrence. Results 12 patients underwent PHR with STORRM; mean age 64 and BMI 36 kg/m2. Synthetic mesh was used in 92% of patients. We observed two (17%) SSEs, one case of cellulitis and one organ space infection. With mean 12.8-month follow-up, we documented two recurrences. Conclusions STORRM represents a safe method to repair parastomal hernias. The unified aperture with stapled reinforcement results in reproducible repairs, minimizing intestinal angulation associated with traditional stoma passage. Early outcomes evidenced minimal complications and favorable recurrence rate.

Original languageEnglish (US)
Pages (from-to)82-87
Number of pages6
JournalAmerican journal of surgery
Volume215
Issue number1
DOIs
StatePublished - Jan 2018

Keywords

  • Abdominal wall reconstruction
  • Parastomal hernia repair
  • Retromuscular
  • Stapled
  • Transversus abdominis release
  • Ventral hernia repair

ASJC Scopus subject areas

  • Surgery

Fingerprint Dive into the research topics of 'Stapled Transabdominal Ostomy Reinforcement with retromuscular mesh (STORRM): Technical details and early outcomes of a novel approach for retromuscular repair of parastomal hernias'. Together they form a unique fingerprint.

  • Cite this