Laparoscopic Repair of a Parastomal Hernia of the Ileal Conduit

Abstract

The patient was an 87-year-old man. He underwent total cystectomy and ileum conduit diversion because of bladder cancer. A year after the operation, he noticed bulging around the stoma and abdominal pain. A year after the onset of the symptoms, he visited our office. He had a defect of the muscle layer around the ileum conduit visible on computed tomography. We diagnosed a parastomal hernia with chronic pain as a complication of his prior surgery, and he underwent laparoscopic repair by the Sugarbaker technique using composite mesh. He was discharged 7 days after the operation. A post-operative seroma developed, but it spontaneously resolved and the hernia did not recur. We experienced a case of parastomal hernia of the ileal conduit that was repaired by laparoscopic surgery. We report the techniques used in laparoscopic repair of this hernia.