Abstract
A 79-year-old woman who underwent abdominoperineal resection for rectal cancer 18 years earlier had been noted to have abdominal incisional hernia and parastomal hernia in her postoperative course. In May 2014, she presented to our emergency clinic because of the abrupt onset of abdominal pain. An abdominal contrast-enhanced CT scan revealed an abdominal incisional hernia in the midline of abdomen in which a prolapsed intestine became slightly thickened. Furthermore another prolapsed intestine was found in the vicinity of the stoma that was diagnosed as incarcerated hernia. Since maneuver reduction of the herniated intestine was possible and any ischemic change was seen in the involved intestines, hernia repair was scheduled later. Employing laparoscopic surgery, we repaired these hernias at the same time by using ParietexTM Optimized Composite Mesh. No recurrence has occurred after the surgery.