Laparoscopic mesh repair of parastomal hernia

The parastomal hernia is repaired with mesh placed via the laparoscope.
(A) The mesh is prepared for placement prior to insertion into the abdominal cavity. Nonabsorbable sutures are placed on the edges of the mesh to later secure to the abdominal wall. An incision is made in a cruciate manner in the mesh to allow for a tension-free construction and repair around the bowel.
(B) The mesh is rolled and applied to cover the defect.
(C) The mesh is secured to the abdominal wall and unrolled around the bowel.
(D) The mesh is fully opened and sutured to the bowel as well as the abdominal wall.