Incisional hernia with mesh hernia repair. Rives Stoppa. | Figure 1

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Incisional hernia with mesh hernia repair. Rives Stoppa.

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Types of Parastomal Hernias

Parastomal hernia has been anatomically classified into four subtypes: A. Subcutaneous: The hernia sac goes alongside the stoma into the subcutaneous tissue. This is the most common type of paracolostomy hernia. B. Interstitial: The hernia sac is within the layers of the abdominal wall. This hernia is at a high risk for strangulation. C. Peristomal: The bowel prolapses through a circumferential hernia sac enclosing the stoma. D. Intrastomal: The hernia sac is between the intestinal wall and the everted intestinal layer. Source: Atlas of Abdominal Wall Reconstruction, 2nd edition, by Michael J. Rosen. ISBN: 9780323374590. Copyright ©2017 Elsevier, Inc.