{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T23:33:29Z","timestamp":1766187209350,"version":"3.48.0"},"reference-count":62,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Colon Rectal Surg"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The most common long-term stoma-related morbidity following colorectal surgery is parastomal hernia formation. Given the risk of developing parastomal hernias and the risk of postoperative complications following their repair, practices have evolved to incorporate prophylactic strategies to reduce the risk of parastomal hernia formation after colorectal surgery. The majority of the data forming the evidence base for parastomal hernia prophylaxis pertains to patients undergoing end colostomy formation in the setting of colorectal cancer. The only prophylactic intervention for prevention of parastomal hernia formation with substantial amounts of high-quality data is the insertion of prophylactic mesh at the index operation for patients undergoing formation of a permanent end colostomy. Other interventions that have been proposed but have less published data substantiating their use include lateral pararectus stoma placement, extraperitoneal stoma creation, circular stoma trephine, and small fascial defects. This chapter will review each of these interventions in detail, along with the associated literature supporting or refuting their use. Additionally, we will discuss other important issues regarding the evidence base for parastomal hernia prophylaxis, parastomal hernia classifications, and risk factors for developing parastomal hernias.<\/jats:p>","DOI":"10.1055\/s-0045-1807749","type":"journal-article","created":{"date-parts":[[2025,4,22]],"date-time":"2025-04-22T20:18:18Z","timestamp":1745353098000},"page":"051-061","source":"Crossref","is-referenced-by-count":0,"title":["Prophylactic Operative Interventions for Preventing Parastomal Hernias after Colorectal Surgery"],"prefix":"10.1055","volume":"39","author":[{"given":"Tyler","family":"McKechnie","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada"},{"name":"Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil J.","family":"Smart","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, Royal Devon and Exeter Hospital, Barrack Road, Exeter, Devon, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cagla","family":"Eskicioglu","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,4,22]]},"reference":[{"issue":"02","key":"ref1","first-page":"111","article-title":"History of surgery: the evolution of views on the formation of intestinal stoma","volume":"6","author":"T N Garmanova","year":"2019","journal-title":"Hist Med"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1055\/s-2007-984865","article-title":"Abdominoperineal resection: how is it done and what are the 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W Tam","year":"2010","journal-title":"World J Surg"},{"issue":"04","key":"ref15","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1111\/codi.13907","article-title":"Incidence and risk factors for parastomal bulging in patients with ileostomy or colostomy: a register-based study using data from the Danish Stoma Database Capital Region","volume":"20","author":"R M Andersen","year":"2018","journal-title":"Colorectal Dis"},{"issue":"02","key":"ref16","doi-asserted-by":"crossref","first-page":"O81","DOI":"10.1111\/codi.13251","article-title":"A pilot single-centre randomized trial assessing the safety and efficacy of lateral pararectus abdominis compared with transrectus abdominis muscle stoma placement in patients with temporary loop ileostomies: the PATRASTOM trial","volume":"18","author":"J Hardt","year":"2016","journal-title":"Colorectal 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