Abstract
An 82-year-old man underwent proctectomy and sigmoid colostomy for a rectal ulcer at the age of 42 years, and a recolostomy for parastomal prolapse at the age of 77 years. He was diagnosed with bowel obstruction after presenting with abdominal pain and vomiting, and was immediately admitted to a hospital on September, 2012. At the time, a parastomal hernia was also detected. Following improvement of bowel obstruction, the parastomal hernia was treated laparascopically by the Lap-Sugarbaker approach using a ParietexTM Composite Parastomal Mesh and laparoscopic adhesive intestinal repair. The patient's postoperative course was unremarkable, and he was discharged after 6 days.
Parastomal hernia is a complication of colostomy, and conventional treatment methods are not adequately effective for complete resolution and are associated with a high recurrence rate. The tension-free surgery provided by the use of a mesh is reported to effective to prevent recurrence of parastomal hernia. The Lap-Sugarbaker approach is useful to spread the mesh efficiently.
