Peristomal hernia: alloplasty using an original technique

The case is reported of a 67-year-old male patient with a voluminous parastomal hernia after a Miles abdomino-perineal resection and consequent definitive terminal colostomy for a rectal adenocarcinoma. The aim of the study was to investigate the efficacy of a new alloplasty technique for parastomal hernia using a Goretex Dual Mesh Plus prosthesis placed under the peritoneum, directly in contact with the intestinal loop. Two important factors should be considered, namely, the high rate of relapse due to fascial repair with or without prostheses and the greater invasiveness of surgical treatment involving the construction of a new stoma in another site after re-laparotomy. Alloplasty with a Goretex Dual Mesh prosthesis under the peritoneum is a valid alternative to other procedures in view of the excellent outcome we obtained in the case described.