{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T11:32:01Z","timestamp":1768390321283,"version":"3.49.0"},"reference-count":51,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T00:00:00Z","timestamp":1768348800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontierspartnerships.org"],"crossmark-restriction":true},"short-container-title":["J. Abdom. Wall Surg."],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Surgical repair of parastomal hernias (PH) is challenging, mainly due to high recurrence rates. The Local Parastomal repair (LoPa) is a novel technique utilizing a retromuscular synthetic mesh with an outward-facing collar. This study describes the LoPa technique and evaluates its outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This single-centre study retrospectively reviewed 39 consecutive patients who underwent LoPa repair for a PH between 2017 and 2021. Long-term follow-up, including physical examination and quality of life assessment, was conducted. The primary outcome was PH recurrence diagnosed clinically or by CT scan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      For the 39 patients included, the mean age and BMI were 71 years and 27\u00a0kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      , respectively. The most common ASA score was III (48.7%). The median length of stay was 3 days with no Clavien-Dindo \u22654 complications observed. At a median follow-up of 47 months, the overall recurrence rate was 33.3% (12\/36 patients). Postoperative general health status was comparable to the Swedish general population, though recurrence was associated with more pain and anxiety.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The LoPa technique is a safe and feasible PH repair, offering low short-term morbidity and a short length of stay. It is an option for repairing isolated PH, especially in patients with comorbidities. While the 33.3% recurrence rate is a concern, it is comparable to other techniques with similar follow-up. These preliminary findings warrant validation in larger prospective trials.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/jaws.2025.15878","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T07:00:21Z","timestamp":1768374021000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Local Parastomal Hernia (LoPa) Repair: A Novel Approach to Parastomal Hernia Repair"],"prefix":"10.3389","volume":"4","author":[{"given":"Ali","family":"Al Mukhtar","sequence":"first","affiliation":[{"name":"Department of Clinical Sciences, Faculty of Medicine, Lund University","place":["Malm\u00f6, Sweden"]},{"name":"Department of Surgery, Sk\u00e5ne University Hospital","place":["Malm\u00f6, Sweden"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agneta","family":"Montgomery","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Faculty of 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