Laparoscopic Parastomal Hernia Repair With a Funnel Intraperitoneal Mesh Device

Abstract Aim Parastomal hernias (PSH) are an underestimated and sometimes undertreated complication after permanent stoma formation. Surgical treatment can be challenging and the optimal treatment options are not determined yet. Laparoscopic parastomal hernia repair using 3D funnel intraperitoneal mesh appears to be a promising approach. Material and Methods 11 patients (7 females, age 71.7 ± 15.4, range 42–86 y.) could be included in this analysis. Elective surgery due to parastomal hernia had been performed in 5 patients following formation of an ileum conduit and in the remaining patients following formation of a colostomy. In addition, concomitant incisional hernia could be treated in 4 patients. All PSH repairs used a laparoscopic approach. Results Mean operations duration was 100 ± 27.6 min. All procedures could be completed laparoscopically. No major postoperative complications requiring redo surgery have been observed. Recurrence rate was 9.1 % (1/11) after a mean follow-up time of 17.7 ± 9.4 (range 6–30) month. Conclusions The laparoscopic approach to PSH repair with 3D funnel mesh in IPOM technique is safe and efficient, provides probably advantageous results compared to other techniques and allows the simultaneous repair of additional incisional hernias, with a low rate of recurrence and no major complications. Since the follow up peroid is still not really long, the recurrence rate and other stoma related complications have to be evaluated in the long term and studied more comprehensively.