case_images: PMC8173221_01
case_images: Pre-operative CT scan showing parastomal hernia (yellow arrow).
case_images: fsurg-08-659102-g0001.jpg
case_images: PMC8173221_01_fsurg-08-659102-g0001.jpg
case_images: F1
case_images: Computed tomography (CT) examination revealed a parastomal hernia (Figure 1) with a diameter of 3 cm.
case_images: Layout of the trocar placement.
case_images: fsurg-08-659102-g0002.jpg
case_images: PMC8173221_01_fsurg-08-659102-g0002.jpg
case_images: F2
case_images: To create the preperitoneal space, 2 sets of 5-mm trocars were inserted at the site of surgical incision using the retrograde puncture technique; the trocars were placed at ~5 cm to each side of the incision, and a 12-mm observation trocar was placed through the incision (Figure 2).
case_images: Anatomic relationship at the end of peritoneal dissociation.
case_images: fsurg-08-659102-g0003.jpg
case_images: PMC8173221_01_fsurg-08-659102-g0003.jpg
case_images: F3
case_images: Through the space that was created by separation, we enlarged the extraperitoneal space within a 15- to 20-cm radius around the stoma, providing a large field for mesh placement (Figure 3).
case_images: Intraoperative picture of hernia ring closure.
case_images: fsurg-08-659102-g0004.jpg
case_images: PMC8173221_01_fsurg-08-659102-g0004.jpg
case_images: F4
case_images: At the end of the procedure, the abdominal wall defect was closed with a 2-0 non-absorbable suture (Figure 4).
case_images: Mesh placement.
case_images: fsurg-08-659102-g0005.jpg
case_images: PMC8173221_01_fsurg-08-659102-g0005.jpg
case_images: F5
case_images: A 15 x 15-cm polypropylene mesh was cut in the middle and placed around the colostomy loop (Figure 5), then sutured and fixed.
case_images: Post-operative CT image showing no recurrence of hernia (yellow arrow).
case_images: fsurg-08-659102-g0006.jpg
case_images: PMC8173221_01_fsurg-08-659102-g0006.jpg
case_images: F6
case_images: The follow-up abdominal CT scan showed no recurrence of the hernia (Figure 6).