Abstract
Here we report a case of a parastomal hernia treated by laparoscopic repair using the sandwich technique. A 71-year-old woman who underwent Hartmann's operation for sigmoid colon cancer with multiple liver metastases (H3) 1 year and 5 months earlier presented with a parastomal hernia. Her abdominal pain had aggravated, and liver metastases were under control owing to chemotherapy. We planned to laparoscopically repair the hernia. At the start of the operation, we inserted three trocars in the flank opposite to the stoma. Because the diameter of the hernia orifice was approximately 8 cm, we performed plication suture of the hernia orifice, followed by a repair of the parastomal hernia using the keyhole technique and the Sugarbaker technique. The patient's postoperative course was satisfactory, and we resumed chemotherapy 4 weeks after the operation. No hernia recurrence has occurred. Laparoscopic repair is minimally invasive and entails a low risk of causing infection. In addition, we do not need to change the way of management of the stoma. Therefore, we consider that this is an effective surgical method.
