Abstract:

Aim: Stoma reversal in patients with concomitant abdominal wall defects can be cumbersome with the risk of many postoperative complications. Present study was conducted to evaluate feasibility and safety of single port restoration of left-sided colostomy in patients with concomitant incisional hernia. Method: All patients with concomitant incisional hernia undergoing single-port reversal of left-sided colostomy (SPRLC) between 2012 and 2020 were included. Primary outcomes were surgical success rate and 30-day postoperative complication rate. Secondary outcome was subsequent hernia repair after successful stoma reversal. Results: Twelve patients were included for analysis. Single-port reversal was possible in five patients, conversion to open surgery was needed in one patient and conversion to multiport laparoscopy in six patients. There was no postoperative mortality, reoperations or anastomotic leakages. Seven patients (58%) encountered no postoperative complications, surgical site infection occurred in four patients, pneumonia in one patient. Median postoperative stay was 4 (range; 3-12) days. Two patients pursued hernia repair after successful stoma reversal. Conclusion: SPRLC is feasible and can be considered as an attractive alternative to open approach in patients with a colostomy and concomitant incisional hernia. It can be considered as a step-wise approach for future abdominal wall repair.

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