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Updated: Jul 10, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

Laparoscopic parastomal hernia repair.

R O Craft¹, K L Huguet, E C McLemore

¹Department of Surgery, Mayo Clinic Arizona, 5777 East Mayo Blvd, Phoenix, AZ 85054, USA.

Hernia : the Journal of Hernias and Abdominal Wall Surgery

|November 14, 2007

Summary

Laparoscopic repair of parastomal hernias using ePTFE mesh shows promise, with a low recurrence rate of 5% in this initial study. This minimally invasive technique may offer advantages over traditional open surgery for managing these challenging hernias.

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Area of Science:

Surgical Innovation
Minimally Invasive Surgery
Hernia Repair

Background:

Parastomal hernias are common and difficult to manage, often requiring intervention due to complications.
Approximately 30% of parastomal hernias necessitate surgical treatment.
Laparoscopic mesh repair is increasingly used for ventral hernias, prompting its application to parastomal defects.

Purpose of the Study:

To evaluate the safety and efficacy of laparoscopic repair for parastomal hernias.
To assess the recurrence rates and complications associated with this technique.

Main Methods:

Retrospective review of 21 consecutive patients undergoing laparoscopic parastomal hernia repair.
Use of expanded polytetrafluoroethylene (ePTFE) mesh for repair.

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Main Results:

The study included various stoma types: ileal conduits (43%), ileostomies (33%), and colostomies (24%).
One recurrence (5%) was observed over a mean follow-up of 14 months.
Complications included mesh infection, bowel obstruction, and pneumonia.

Conclusions:

Laparoscopic repair of parastomal hernias is a novel technique with potential benefits over open repair.
Initial experience suggests a low recurrence rate for laparoscopic parastomal hernia repair.