
Management of Parastomal Hernia using Laparoscopic Keyhole Mesh Repair: A Case Report
Correspondence Address :
Dr. Parin Nilesh Patel,
31, Royal Enclave Behind Zydus Hospital Thaltej, Ahmedabad-380059, Gujarat, India.
E-mail: daringparin@gmail.com
Parastomal Hernia (PSH) is a frequent and challenging complication of stoma creation, with an incidence of up to 50% within two years postsurgery. This condition often presents with swelling, discomfort, or complications such as obstruction or strangulation. Surgical repair, particularly using minimally invasive techniques, is the definitive treatment for symptomatic or complicated hernias. This case report presents a 65-year-old female with a symptomatic PSH following anterior perineal resection and colostomy for rectal cancer. The hernia was successfully managed with a laparoscopic keyhole mesh repair. The procedure involved meticulous adhesiolysis and the placement of a composite mesh to reinforce the abdominal wall while maintaining stoma function. Postoperative recovery was uneventful, and the patient experienced complete symptom resolution with no recurrence at the one-month follow-up. This report underscores the efficacy and safety of laparoscopic keyhole mesh repair in the management of PSH and highlights the importance of individualised surgical planning and precision in achieving optimal outcomes.
Adhesiolysis, Colostomy, Laparoscopic surgery
DOI: 10.7860/JCDR/2025/78025.20812
Date of Submission: Jan 20, 2025
Date of Peer Review: Feb 24, 2025
Date of Acceptance: Mar 03, 2025
Date of Publishing: Apr 01, 2025
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Jan 21, 2025
• Manual Googling: Feb 27, 2024
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ETYMOLOGY: Author Origin
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