Laparoscopic Parastomal Hernia Repair with Titanium-coated Mesh: Technique Principles and Personal Experiences
Parastomal hernias (PHs) continue to be one of the greatest challenges which a surgeon has to face. The surgical options range from relocating the stoma to defect repair using direct suture or mesh reinforcement through an open or laparoscopic approach. The deep mesh reinforcement technique is considered to be the most appropriate and the laparoscopic approach the least traumatic, but both the keyhole and the Sugarbaker techniques can have high rates of recurrence.1–3 The aim of this study is to present results for the laparoscopic treatment of parastomal hernias performed in a specific unit, which is highly experienced in laparoscopy and hernia treatment, and to discuss the principles of the surgical technique.