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Diagnosis and Management of Parastomal Hernias

Okorji, Leslie M., M.D.; Kasten, Kevin R., M.D.

doi: 10.1097/DCR.0000000000001293
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CASE SUMMARY: A 63-year-old woman with history of stage II rectal adenocarcinoma status postneoadjuvant chemoradiation and subsequent abdominoperineal resection presented with worsening bulge and inability to pouch stoma. CT scan revealed a 4-cm parastomal hernia. After discussion with the patient regarding management options, she elected to undergo repair of hernia defect. A robot-assisted laparoscopic parastomal hernia repair with synthetic mesh via the Sugarbaker technique was performed. After a short stay in the hospital, the patient recovered well and reported no recurrent symptoms.

Department of Surgery, Carolinas Medical Center, Charlotte, North Carolina

Earn Continuing Medical Education (CME) credit online at This activity has been approved for AMA PRA Category 1 credit.

Funding/Support: None reported.

Financial Disclosure: None reported.

Correspondence: Leslie M. Okorji, M.D., Department of Surgery, Carolinas Medical Center, 1000 Blythe Blvd, Suite 601, Charlotte, NC 28203. E-mail:

© 2019 The American Society of Colon and Rectal Surgeons