Paraestomal Hernia and Perineal Hernia: Challenges in Abdominal Surgery скачать в хорошем качестве

Paraestomal Hernia and Perineal Hernia: Challenges in Abdominal Surgery

A clinical case of an 83-year-old woman presenting with a PH3 parastomal hernia and a posterior perineal hernia following abdominoperineal amputation in 2015. She had multiple visits to the Emergency Department due to subocclusive episodes. A CT scan revealed a colostomy in the left iliac fossa with a parastomal hernia containing the transverse colon, with the hernial orifice measuring approximately 58 mm in its largest axial dimension, and a posterior perineal hernia with a hernial orifice of about 3 cm. Underwent laparoscopic Sugarbaker parastomal hernia repair and laparoscopic perineal hernia repair with a dual-faced mesh. Discharged on the 6th postoperative day without complications.