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NYC Hernia

Hernia Repair in New York City by Brian Jacob, MD

  • About Dr. Jacob
    • Dr. Brian P. Jacob, MD, FACS
    • In The News
    • Publications/Research
    • Blog
  • Hernia Procedures
    • Inguinal Hernia
    • Diastasis Recti
    • Femoral Hernia
    • Parastomal Hernia
    • Umbilical Hernia
    • Ventral/Incisional Hernia
  • Groin Pain & Injuries
    • Chronic Groin Pain
    • Mesh Pain and Mesh Removal
    • Hidden (Occult) Hernia
    • Recurrent Hernia
    • Sports Hernia or Athletic Pubalgia
    • Adductor Longus Sprains and Tears (Athletic Pubalgia)
    • Acnes (Anterior Cutaneous Nerve Entrapment Syndrome)
  • Weight Loss Surgery
    • Sleeve Gastrectomy
    • Revisional Weight Loss Surgery
    • Adolescent Sleeve Gastrectomy
  • Patient Journey
    • Initial Office Visit
    • Preparing for Surgery
    • Insurance and Financing
    • Risks Associated With Laparoscopic Inguinal Hernia Surgery
    • Recovery After Inguinal Hernia Surgery
    • Inguinal Hernia Surgery – Discharge Instructions

Parastomal Hernia Repair

Definition

A parastomal hernia repair is a hernia that forms next to your ostomy (stoma).  Ostomies can be either small bowel, large bowel, permanent or temporary.

Presentation

Parastomal hernias can present as a bulge in your abdomen.  It can cause your appliance to not fit properly.  It can cause pain and a bowel obstruction.  If you are asymptomatic, some parastomal hernias are safer to watch without operating than taking on the risks associated with surgery.

Next steps for you

If you think you have a parastomal hernia, then make an appointment with a hernia expert to discuss your options.

Imaging is useful and your surgeon will likely order a CTSCAN.  This can identify the hernia size, contents, and other hernias you may or may not also have.

Repair options are numerous and include:

  • open primary repair
  • open mesh repair (mesh can be placed inside your abdomen or between the muscle and peritoneum).
  • open stoma resiting (placing your stoma in a new location).
  • laparoscopic or robotic mesh repair (with a keyhole technique or with an underlay aka Sugarbaker technique).  This can be done with or without defect closure.

Some surgical risks include, but are not limited to:

Recurrences, chronic pain, bowel obstruction, enterotomy, mesh erosion, fistula, seroma, hematoma, and infection.

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Laparoscopic Surgical Center of New York

A Castle Connolly Top Doctor

Most Popular Content

  • Correcting a Failed Weight Loss Surgery
  • The Hernia You’ve Never Heard of — the Parastomal Hernia
  • General Discharge Instructions
  • It’s Baaaaack. Recurrent Hernias.
  • Bypassing a Gastric Bypass

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Address & Info

Laparoscopic Surgical Center of New York
1010 5th Avenue
New York, New York 10028 United States
+1 212-879-6677
nychernia@gmail.com
Office Hours are 9:30am - 5pm, Monday - Friday

Dr Vine sees patients on Mondays
Dr. Katz sees patients on Tuesdays
Dr. Jacob sees patients on Wednesdays

Copyright © 2021 Brian Jacob, MD. All rights reserved.

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