Laparoscopic parastomal hernia repair

摘要: Repair of parastomal represents a significant challenge for the hernia surgeon. these hernias is indicated because an ill-fitting appliance, cosmetic deformity, inability to maintain proper hygiene and complications from itself such as incarceration or strangulation. Recent reports in literature have shown that primary fascial repair can occur 46% patients relocation stoma associated with 40% recurrence rate. For this reason, use polypropylene mesh has been applied repair. The rate open technique will still incur failure 20-29%. Additionally there are other obstruction, fistulization erosion biomaterial. laparoscopic approach may offer new choice difficult problem. We used ePTFE 12 three different approaches. There eight colostomy, two ileostomy urostomy hernias. Follow-up ranges 3-39 months (average 20 months). one required repairs (8%). Other included enterotomy (one patient), ileus (one), seroma death postoperative aspiration (one). appears be promising complex dilemma.