A 69-year-old woman was referred to our department with complaints of abdominal discomfort in the standing position. She had undergone robot-assisted radical cystectomy and ileal conduit urinary diversion for bladder cancer 10 months earlier. Abdominal CT revealed a parastomal hernia. Laparoscopic parastomal hernia repair using the Pauli technique was performed successfully with no recurrence after a 4-month follow-up. Although there are concerns about potential mesh-related complications and long-term results, this novel approach can be a successful option for parastomal hernia repair. As far as we know, this is the first English-language report on the application of Pauli parastomal hernia repair combined with a pure laparoscopic approach.
Asian journal of endoscopic surgery. 2020 Jun 03 [Epub ahead of print]
Kiyotaka Imamura, Minoru Takada, Kazufumi Umemoto, Shotaro Furukawa, Yoshiyasu Ambo, Fumitaka Nakamura
Department of Surgery, Teine Keijinkai Hospital, Sapporo, Japan.