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Updated: Jun 16, 2026
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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Endoscopic totally extraperitoneal repair for parastomal hernia using the ePauli technique
Junsheng Li1, Liangqi Lu2, Yuxin Yang2
1Department of Hernia and Abdominal wall Surgery, Affiliated Zhongda Hospital, Southeast University, Nanjing, 210009, China. Lijunshenghd@126.com.
Summary
The endoscopic Pauli (ePauli) technique using a laparoscopic totally extraperitoneal (eTEP) approach is a feasible and safe option for parastomal hernia repair. This minimally invasive method shows acceptable short- to medium-term clinical outcomes for patients.
Area of Science:
- Minimally invasive surgery
- Surgical oncology
- Gastroenterology
Background:
- Parastomal hernias (PH) are common complications after ostomy creation.
- Traditional surgical repair methods have limitations and high recurrence rates.
- Minimally invasive techniques are being explored to improve PH repair outcomes.
Purpose of the Study:
- To evaluate the feasibility, safety, and short- to medium-term clinical outcomes of a standardized pure laparoscopic totally extraperitoneal (eTEP)-based endoscopic Pauli (ePauli) technique for parastomal hernia (PH) repair.
Main Methods:
- A prospective analysis of 13 consecutive patients undergoing eTEP-based ePauli repair for PH.
- Collection and analysis of baseline clinical characteristics, perioperative parameters, and postoperative outcomes.
Main Results:
- The mean age of patients was 72 years, with a mean PH defect diameter of 5.7 cm.
- Mean operative time was 245.9 minutes, with a median hospital stay of 7 days.
- Complications included surgical site infection, mesh infection, and intestinal obstruction in 7.7% and 23.1% of patients, respectively. One patient (7.7%) experienced short-term recurrence.
Conclusions:
- The pure laparoscopic eTEP-based ePauli technique is a feasible and safe minimally invasive option for parastomal hernia repair.
- The technique offers acceptable short- to medium-term outcomes.
- It represents a valuable addition to the surgical armamentarium for parastomal hernia repair.