Laparoscopic repair of paracolostomy hernia

Paracolostomy hernia is a common complication of stoma creation. Operative repair is indicated in about 15% of cases, through several surgical approaches. We describe a laparoscopic technique used to repair a large symptomatic paracolostomy hernia in a 69-year-old woman almost 20 years after abdominoperineal resection. The laparoscopic approach to such a hernia is feasible, safe, and logical, as it combines the advantages of mesh reinforcement with those of endoscopic repair.