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<p>Parastomal hernia (PSH) is a common complication following stoma formation. Although prophylactic mesh placement initially showed that promise, recent long-term follow-up randomized trials have demonstrated its ineffectiveness. To enhance PSH prevention, modifications in technique are necessary. We introduced a novel laparoscopic method, the laparoscopic extraperitoneal route to colostomy combined with retromuscular prophylactic mesh. This study documents detailed surgical procedures and postoperative outcomes. Up to now, after a median follow-up of 13 (range: 12–16) months, none of the five subjects in our study cohort experienced a PSH or other serious complication. Impressively, all these patients were followed up for over 1&#xa0;year. In conclusion, the laparoscopic extraperitoneal route to colostomy combined with retromuscular prophylactic mesh appears to be safe and feasible for patients who need permanent sigmoidostomy. The procedure provides a novel option for those patients.</p>

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A novel technique for preventing parastomal hernia: laparoscopic extraperitoneal route to colostomy combined with retromuscular prophylactic mesh

  • 期刊论文

  • 发表日期：

    2026年1月21日

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  • Jianlin Xiao,
  • Mingtian Wei,
  • Xiangbing Deng,
  • Ziqiang Wang

摘要

Parastomal hernia (PSH) is a common complication following stoma formation. Although prophylactic mesh placement initially showed that promise, recent long-term follow-up randomized trials have demonstrated its ineffectiveness. To enhance PSH prevention, modifications in technique are necessary. We introduced a novel laparoscopic method, the laparoscopic extraperitoneal route to colostomy combined with retromuscular prophylactic mesh. This study documents detailed surgical procedures and postoperative outcomes. Up to now, after a median follow-up of 13 (range: 12–16) months, none of the five subjects in our study cohort experienced a PSH or other serious complication. Impressively, all these patients were followed up for over 1 year. In conclusion, the laparoscopic extraperitoneal route to colostomy combined with retromuscular prophylactic mesh appears to be safe and feasible for patients who need permanent sigmoidostomy. The procedure provides a novel option for those patients.