Related Experiment Video
Updated: Jun 13, 2026
Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Laparoscopic Peritoneal Flap Closure for Internal Hernia Associated with Colostomy: Two Case Reports
Ryo Kanoda1, Hisahito Endo1, Masanori Katagata1
1Department of Gastrointestinal Tract Surgery, Fukushima Medical University School of Medicine, Fukushima, Fukushima, Japan.
Introduction:
Internal hernia associated with colostomy (IHAC) is a rare but serious complication after colorectal surgery, especially when performed via the intraperitoneal route. Optimal treatment strategies remain unclear.
Case Presentation:
We report 2 cases of recurrent bowel obstruction caused by IHAC following laparoscopic Hartmann's procedure or laparoscopic abdominoperineal resection (APR) performed via the intraperitoneal route in patients aged 74 and 83 years. Both patients underwent laparoscopic peritoneal flap closure (LPFC), in which the peritoneum was dissected and sutured to the lifted colon to close the lateral space of the colostomy. The procedures were successful, with favorable postoperative courses and no recurrence of IHAC in either case.
Conclusions:
The present cases demonstrate that LPFC is a safe and effective technique for repairing IHAC, particularly when conventional methods, such as omental patching or extraperitoneal stoma creation, are not feasible. This approach may also serve as a preventive measure against IHAC if performed during the primary surgery.
