The effects on quality of life of a hernia at the site of stoma closure are unknown

We read with interest the article by Saeed et al on the incidence of hernia at the site of temporary loop ileostomy closure(1) . Although at one year follow-up they did not visualise any case of a hernial sac, 37% (16/43) had either muscle atrophy or a defect. It should be noted that the post-operative surveillance computed tomography (CT) scans used were not optimised to detect hernia formation, in contrast to some previously published studies(2) . No patient was reported as requiring surgical repair of a hernia at the stoma closure site. © 2012 The Authors Colorectal Disease © 2012 The Association of Coloproctology of Great Britain and Ireland.