Laparoscopic Giant Parastomal Hernia Repair.

, Lee, Yoon Suk; , Lee, In Kyu; , Oh, Seung Teak; , Kim, Jun Gi; , Jang, Suk Kyun; , Kim, Young Ha

Case Report

Journal of the Korean Society of Coloproctology 2005;21(5):325-328.

Lee, Yoon Suk , Lee, In Kyu , Oh, Seung Teak , Kim, Jun Gi , Jang, Suk Kyun , Kim, Young Ha

¹Department of Surgery, Our Lady of Mercy Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. yslee@catholic.ac.kr
²Department of Surgery, St. Mary Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
³Department of Surgery, Kang-nam St. Mary Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
⁴Department of Surgery, St. Vincent Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Abstract

Parastomal hernia is not an uncommon complication after stoma formation. Although there are a variety of open surgical techniques, rates of morbidity, recurrence and complications are high. Nowadays, with improvements in techniques and equipment, laparoscopic surgery is being increasingly used in every field of surgery. Herein, we present a case study of a patient suffering from a large parastomal hernia who underwent a laparoscopic hernia repair. A 71-year-old man who had undergone an abdominoperineal resection for an adenocarcinoma of the rectum 5 years ago was admitted to our hospital for a large parastomal hernia, which was repaired by using a laparoscopic approach with Gore-Tex and protack (auto-suture(R), USA). We found the laparoscopic approach for a large parastomal hernia to be technically feasible and to be a good alternative to conventional open surgery with the advantage of minimal invasivess.

Key Words: Parastomal hernia; Laparoscopic repair