Simple technique for laparoscopic paracolostomy hernia repair.
OBJECTIVE
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.
Voitk
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Department of Surgery, The Scarborough Hospital, Grace Division, Canada.
D003108:Colonic Diseases / Q000601:surgery*; D003125:Colostomy / Q000009:adverse effects*; D059685:Herniorrhaphy; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D019060:Minimally Invasive Surgical Procedures; D011391:Prolapse; D013526:Surgical Mesh; D016896:Treatment Outcome