A Novel Technique for Parastomal Hernia Repair Combining a Laparoscopic and Ostomy-Opening Approach

Abstract

The technique described gives several advantages, such as a minimally invasive hybrid approach creating a real three-dimensional mesh-covered barrier between the trephine and stomal limb and optional shortening of a concomitant prolapse. When needed due to a concomitant incisional hernia, a second flat mesh can be laparoscopically placed in an intraperitoneal position.