AUTHOR=Al Mukhtar Ali , Montgomery Agneta , Johnson Kristin , Rogmark Peder , Öberg Stefan , Vedin Tomas , Petersson Ulf , Lydrup Marie-Louise 
  
TITLE=The Local Parastomal Hernia (LoPa) Repair: A Novel Approach to Parastomal Hernia Repair
  
JOURNAL=Journal of Abdominal Wall Surgery
  
VOLUME=Volume 4 - 2025
  
YEAR=2026
  
URL=https://www.frontierspartnerships.org/journals/journal-of-abdominal-wall-surgery/articles/10.3389/jaws.2025.15878
  
DOI=10.3389/jaws.2025.15878
  
ISSN=2813-2092
  
ABSTRACT=PurposeSurgical 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.MethodsThis 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.ResultsFor the 39 patients included, the mean age and BMI were 71 years and 27 kg/m2, respectively. The most common ASA score was III (48.7%). The median length of stay was 3 days with no Clavien-Dindo ≥4 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.ConclusionThe 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.