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Scripta Scientifica Medica

Laparoscopic Repair of Parastomal Hernia

V. Kyosev, G. Kotashev, V. Mutafchiyski, K. Vasilev, P. Ivanov, G. Grigorov, V. Hristova, G. Popivanov, D. Penchev, H. Petrov


Aim: Open repair of parastomal hernias is associated with high rates of morbidity and recurrence. A basic principle is the necessity of mesh-based techniques. The aim of this report was to review our department`s experience and evaluate a laparoscopic repair of parastomal hernia, primarily based on the intraperitoneal onlay mesh technique.Materials and Methods: A 77-year-old female was admitted to our institution with a two-year history of parastomal hernia. She had undergone abdominoperineal rectal extirpation for rectal cancer seven years before. CT scan of the abdomen and pelvis was performed before surgery and there was no evidence of cancer recurrence. Laparoscopic repair of the hernia with mesh was performed in this case.Results: A piece of COVIDIEN Parietex Composite Parastomal Mesh with a central keyhole and a radial incision was fastened laparoscopically over the colostomy and the hernia defect with a wide overlap, without dissecting out the sac. The mesh was secured to the margins of the hernia with circumferential tacking. The postoperative course was benign, without complications and she was dismissed from the hospital on the 4th postoperative day. Six months after surgery, there was no recurrence of the hernia.Conclusions: This case demonstrated that laparoscopic repair of parastomal hernia had good results and was a feasible and safe procedure for repairing this difficult problem.


Keywords: laparoscopic surgery, hernia repair, parastomal hernia



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About The Authors

V. Kyosev

G. Kotashev

V. Mutafchiyski

K. Vasilev

P. Ivanov

G. Grigorov

V. Hristova

G. Popivanov

D. Penchev

H. Petrov

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