Parastomal Hernia Repair

Abstract Background Parastomal hernias are frequent. The optimal surgical strategy for treating symptomatic parastomal hernias (PSH) subsequent to ileal conduit urinary diversion remains an unresolved challenge, characterized by limited data and persistently high recurrence rates across diverse repair methodologies. Methods A 73-year-old male patient with a history of radical cystectomy and ileal conduit urinary diversion due to bladder cancer presented with a symptomatic parastomal hernia. The repair technique was performed through the stoma site involving a right retromuscular dissection. A keyhole technique with a biosynthetic PTFE mesh was used in the retromuscular and preperitoneal plane. Results The post-operative period was uneventful, and no recurrence occurred during the first 6-months of follow-up. Conclusions This case highlights the importance of tailored surgical approaches for addressing parastomal hernias, a repair through the stoma site is feasible and safe.