2022 Volume 55 Issue 1 Pages 57-63
A 74-year-old man underwent construction of a sigmoid colon stoma by a laparoscopic Hartmann operation for perforation of the sigmoid diverticulum. The patient subsequently underwent stoma closure, but then had an abdominal wall hernia in the midline wound and stoma closure site. We performed Endoscopic Mini/Less Open Sublay (EMILOS) repair for two large abdominal incisional hernias in the midline wound and stoma closure site. There were no significant postoperative complications, and currently, at 4 months after surgery, there has been no hernia recurrence. There have been several recent useful reports of laparoscopic incisional hernia repair. In this case, we were able to perform abdominal wall reconstruction by the EMILOS procedure with a small incision and single incision laparoscopic surgery.