Abstract
Parastomal hernia is developed after the creation of a stoma which happens after bowel resection or diversion. With the developed screening program for bowel cancer and its related surgeries, a lot of stomas have been done and its complications including parastomal hernias appeared. At the same time, its diagnosis is well developed with the advancement of imaging techniques, but unfortunately, there is no standard treatment for the repair. It is noticed that each surgeon deals with the PSH with their own experience as there is no strong evidence or standard approach, with most of the PSH patients treated conservatively till they reach a big size or develop other complications. A lot of effort was spent on the primary prevention of PSH and still under trial. Considering evidence-based medicine, the best way to deal with PSH is to be tailored to the patient’s extent of complaint, which is determined by the surgeon’s experience. It is estimated that third of these patients are treated surgically, and this is due to the high recurrence rate that makes surgeons try to avoid surgical correction. In this chapter, we will try to cover the latest update about the diagnosis, complications and repair techniques.