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Updated: Jul 16, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Lateral Approach Circumstomal Open Retrorectus Mesh Repair with Transversus Abdominis Release and Three-Point Stomal
Khang Duy Ricky Le1,2,3, Leon Yeung1, Eleni Baird-Gunning1
1Department of Surgery, Launceston General Hospital, Launceston, TAS 7250, Australia.
None:
Acute parastomal hernia containing the stomach with subsequent mechanical gastric outlet obstruction is an exceedingly rare phenomenon given the anatomical fixation of the stomach. Herein, we present the case of an 81-year-old female with a history of a Hartmann's procedure who developed acute vomiting. She was found to have herniation of the stomach into the parastomal hernia sac with tight angulation of the gastroduodenal junction and, therefore, gastric outlet obstruction. Following decompression with a nasogastric tube, we report an open approach with circumstomal mesh for acute emergent repair.
