PURPOSE: The aim of this study was to describe a simple, minimally invasive, and effective technique for repair of paracolostomy hernia. METHODS: Mesh is fastened laparoscopically over the colostomy and hernial defect with wide overlap, without dissecting out the sac or repairing the defect, while ensuring enough room for the colon to prevent obstruction at the level of the mesh. RESULTS: The technique has been used successfully in four patients, with follow-up of 2 to 12 months. Operating time and length of stay were short, and there was no recurrence or prolapse of the colostomy. CONCLUSIONS: This seems to be an effective, simple, and minimally invasive technique for repairing a difficult problem. Although the number of cases is small and the follow-up has been short, the technique mimics that used in massive ventral hernia repair with good results.
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Londono-Schimmer EE, Leong AP, Phillips RK. Life table analysis of stomal complications following colostomy. Dis Colon Rectum 1994;37:916–20.
Sugarbaker PH. Prosthetic mesh repair of large hernias at the site of colonic stomas. Surg Gynecol Obstet 1980;150:577–8.
Szymanski J, Voitk AJ, Joffe J,et al. Technique and early results of laparoscopic mesh onlay repair of incisional hernias. Surg Endosc 2000;14:582–4.
Stoppa R, Petit J, Abourachidet al. Original procedure of groin hernia repair: interposition without fixation of Dacron tulle prosthesis by subperitoneal median approach. Chirurgie 1973;99:119–23.
Ripstein CB. A simple, effective operation for rectal prolapse. Postgrad Med 1969;45:201–4.
Sugarbaker PH. Peritoneal approach to prosthetic mesh repair of paraostomy hernias. Ann Surg 1985;201:344–6.
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Voitk, A. Simple technique for laparoscopic paracolostomy hernia repair. Dis Colon Rectum 43, 1451–1453 (2000). https://doi.org/10.1007/BF02236646
- Paracolostomy hernia
- Laparoscopic repair
- Surgical technique