(Disclaimer: This article is only for scientific purposes, in order to protect the privacy of patients, the following content of the relevant information has been processed) Abstract: The case is a 45-year-old male patient, complaining of rectal cancer surgery for more than 2 years, the intestinal stoma next to the palpable mass for six months to the outpatient clinic of our hospital, after examination and diagnosis of intestinal hernia next to the stoma, then laparoscopic hernia repair next to the stoma minimally invasive treatment, the patient recovered smoothly after surgery, 10 days after the operation, the patient was hospitalized, and the patient recovered well. After surgery, the patient recovered well and was discharged from the hospital 10 days after surgery. The patient was discharged from the hospital 10 days after the operation. He came to our outpatient clinic for follow-up six months later, and did not have a parastomal hernia again. 【Basic information】 Male, 45 years old 【Disease type】 Parastomal hernia 【Hospitalization】 Hefei Second People’s Hospital 【Time of consultation】 March 2019 【Treatment】 Surgical treatment (laparoscopic parastomal hernia repair) + intravenous infusion (Ceftazidime Avibactam Sodium for Injection) 【Treatment cycle】 Hospitalization for 10 days, six months for follow-up 【Treatment effect】 The patient’s condition is basically recovered I. Initial interview Patient 45 years old, complaining of rectal cancer more than 2 years after surgery, palpable mass next to the intestinal stoma for half a year, as well as occasional abdominal pain, nausea and other symptoms, came to our outpatient clinic, and there was no redness, swelling, pain and other discomforts of the mass. The patient had undergone laparoscopic radical rectal cancer surgery and permanent colostomy for rectal cancer in a hospital in Shanghai 2 years ago, and had regular chemotherapy for 8 times after the surgery. Half a year ago, a mass was palpable next to the stoma, which was about the size of an egg, and she did not care about it at that time, but the mass gradually tended to increase in size. Combined with the characteristics of medical history and physical examination, the patient was diagnosed as parastomal hernia and admitted to the ward. The patient was now diagnosed with parastomal hernia, which could only be solved by surgical treatment, but before surgery, it was necessary to find out whether the patient had a recurrence of rectal cancer, and to arrange for thoracic and abdominal enhanced CT examination and pelvic enhanced magnetic resonance examination. Because 2 years after rectal cancer surgery is still a high-risk stage for tumor recurrence, it is necessary to exclude whether there are metastases in liver, lung and pelvis. Furthermore, abdominal CT can also clarify the diagnosis of parastomal hernia. Finally, preoperative preparation for bowel cleansing needs to be perfected, because the patient has a history of abdominal surgery, and the intestinal adhesions may be separated or the stoma may be redone intraoperatively. After the patient’s preoperative examination was completed and the possibility of cancer recurrence was ruled out, the patient’s condition was communicated with the family again and laparoscopic parastomal hernia repair was recommended. During the operation, we found that there was a 3×4 mm sized defect next to the colonic stoma, and the redundant colon burrowed into the defect and formed the hernia contents. Considering the existence of parastomal hernia combined with stoma prolapse, we decided to resect the redundant intestinal tubes and reset the colostomy in parallel. We chose a single-sided anti-adhesion patch of 20×15cm in size, and the Sugarbaker method of repairing was used, with a screw nail gun to fix the patch and the abdominal wall, which made the operation go smoothly. Third, the treatment effect The patient’s surgery went smoothly, and an abdominal drain was placed after the surgery. On the 3rd postoperative day, the patient resumed intestinal evacuation, and was given a semi-liquid diet as appropriate, and the abdominal drain was removed on the 4th day, and the symptoms of abdominal pain were relieved, and the body temperature, respiration, blood pressure, and heart rate were stable, and at the same time, there was no serious complication such as hemorrhage, incisional infection, and abdominal cavity infection. The patient was allowed to be discharged after 10 days of hospitalization, and after six months of outpatient review of abdominal CT and examination, the patient had no recurrence of abdominal wall hernia. Fourth, precautions I am glad that the patient’s condition successfully recovered, but need to advise the patient to maintain an easy-to-digest diet to prevent dry stools, defecation difficulties, which led to the recurrence of the hernia, and the type of food needs to be balanced, maintain a light diet, eat more fruits, vegetables and other foods rich in dietary fiber. You should also maintain proper exercise to improve the strength of the abdominal wall muscles, which is conducive to the recovery of the wound. In addition, if there are uncomfortable symptoms, it is necessary to consult a doctor in time for examination and treatment. V. Personal perception For this case, first of all, we should summarize its characteristics, parastomal hernia is a common complication after intestinal stoma surgery, and its pathogenesis is related to advanced age, obesity diabetes mellitus, malnutrition, or stoma technology, once found, it should be operated as early as possible. Perioperative prevention of patch infection is also very important for the success of surgery. In patients with a history of cancer we need to evaluate the systemic condition before surgery to exclude the presence of tumor recurrence and metastasis.