Paracolostomy hernia is a common complication of stoma creation. Operative
repair is indicated in about 15% of cases, through several surgical approac
hes. We describe a laparoscopic technique used to repair a large symptomati
c paracolostomy hernia in a 69-year-old woman almost 20 years after abdomin
operineal resection, The laparoscopic approach to such a hernia is feasible
, safe, and logical, as it combines the advantages of mesh reinforcement wi
th those of endoscopic repair.