Laparoscopic repair of a paracolostomy hernia: secure reinforced closure of the defect prevents recurrence.
High incidence rates have been reported for parastomal hernias after colostomies, particularly end colostomies. In addition to cosmetic disfigurement, parastomal hernias also cause several functional problems in stoma management, and their repair becomes essential. While a variety of open techniques have been described for their management, including the extreme step of stoma relocation, laparoscopic techniques offer a viable and possibly better option. We present a case of parastomal hernia and describe our technique of repair.
Jani
Kalpesh
K
Gem Hospital, Coimbatore, Tamil Nadu, India. kvjani@indiatimes.com
Palanivelu
Chinnasamy
C
Parthasarathi
Ramasamy
R
Madhankumar
Madathupallayam Vellusamy
MV
D003125:Colostomy / Q000009:adverse effects*; D046449:Hernia, Abdominal / Q000209:etiology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D055502:Secondary Prevention; D013526:Surgical Mesh; D013536:Suture Techniques