Simplified laparoscopic parastomal hernia repair: the scroll technique.
BACKGROUND
Laparoscopic parastomal hernia repair can be technically challenging. We herein present a simplified technique of laparoscopic parastomal hernia repair.


METHODS
This technique entails fixation of the rolled mesh to the anterior abdominal wall before unfolding it, each side of the mesh is unfolded and fixed individually using transfascial sutures and tacks.


RESULTS
This technique was used in 3 patients; The average time for mesh placement was about 30 minutes. The mean length of stay was 2 days. Apart from 1 patient who developed a transient postoperative seroma, there were no intraoperative or postoperative complications.


CONCLUSIONS
This technique of mesh placement minimizes intracorporeal mesh manipulation, facilitates fixation of the mesh to the anterior abdominal wall, and provides adequate coverage to the hernia defect while hosting the colostomy without restriction.
Saber
Alan A
AA
Department of Surgery, Michigan State University/Kalamazoo Center for Medical Studies, 1000 Oakland Dr., Kalamazoo, MI 49008, USA. saber@kcms.msu.edu
Rao
Arun J
AJ
Rao
Camela A
CA
Elgamal
Mohamed H
MH
D003125:Colostomy / Q000009:adverse effects*; D006555:Hernia, Ventral / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D013526:Surgical Mesh; D013536:Suture Techniques