This year, 94-year-old Zhang Agong is having a very unhappy time this time, because his body has problems again: abdominal pain, constipation, poor appetite …… The left abdomen of the body also bulges a big lump! The actual what is going on? It turns out that 2 years ago, the home of the Chaiqiao Zhang Agong because of “rectal occupancy” in the hospital “rectal tumor resection + artificial anal fistula”. The company’s main goal is to provide a solution to the problem of the problem. However, 1 year later, Zhang Ah Gong felt a swelling protruding from the left side of the “stoma bag”, and over time, this swelling became larger and larger like a balloon. “The skin around the stoma bag became red and swollen, and the pain and distension in the abdomen made it difficult for him to sleep and eat, and caused great inconvenience to the stoma care. The company’s main business is to provide a wide range of products and services to the public. “It’s been too painful for me for a year, it’s too hard to live like this.” At the end of October this year, Zhang Agong, who came to the second hospital in the district because of abdominal distension and constipation, asked the doctors to help him completely solve his year-long problem. The hospital quickly organized a surgical consultation for Zhang Agong’s condition, in view of the colostomy opening resulting in a herniated stoma, large hernia sac, and a large accumulation of small intestine protruding from the abdominal cavity in the hernia sac causing intestinal obstruction with distension and pain, the surgical team further evaluated Zhang Agong’s condition and developed a personalized surgical plan to meet the actual situation of the elderly. ” Because the old man has underlying diseases such as liver cirrhosis, renal insufficiency and moderate anemia, coupled with his age and poor cardiopulmonary function, there is a considerable risk of surgery, but considering the strong will of the old man and his family, after comprehensive consideration, we still decided to operate on the old man.” Yu Zhenliang, deputy director of general surgery of the Second District Hospital, said. “After Zhang’s underlying disease was effectively controlled, on October 30, the surgical team of the Second District Hospital, with the assistance of Zhang Yizhong, Director of Gastrointestinal Surgery of Ningda Hospital, performed “laparoscopic simultaneous repair of parastomal hernia and incisional hernia” for Zhang. The operation went very smoothly because of the adequate preparation before the operation and timely and effective response to various difficulties that occurred during the operation. He recovered well after the surgery and was able to get out of bed and walk easily the next day, and the bulge next to the stoma disappeared. A few days later, Zhang’s body recovered quickly and his previous troubles were gone. Parastomal hernia is one of the common long-term complications of stoma placement after intestinal and bladder surgery. The formation of a stoma requires incision of the abdominal muscles to expose part of the intestinal canal, which is equivalent to leaving a weak point in the abdominal muscle. When the stoma is too loose or the abdominal wall tissue around the stoma is poorly healed and a defect is formed, if the patient is combined with factors that increase intra-abdominal pressure such as severe coughing, difficulty urinating and ascites, the intestinal tube and other organs in the abdominal cavity may protrude through this defect and form a hernia next to the stoma. Because the stoma must be preserved after repair, the defect in the abdominal wall cannot be completely closed, and because of the strong peristaltic effect of the stoma intestine, parastomal hernia repair is the most likely hernia repair to fail. The incidence of parastomal hernias is not low, with some reports indicating a maximum incidence of 50% of stoma surgeries. The only treatment is to repair the gap and re-establish barrier function. Previous open surgeries have been highly invasive and have in turn tended to complicate the problem by forming an incisional hernia at a new incision site after repairing a parastomal hernia, among other things. “Surgery is the only means to cure a parastomal hernia, and it is not difficult to repair the weakness of the abdominal wall and preserve the patency of the stoma. To perform this surgery laparoscopically requires a solid foundation in laparoscopy.” Yu Zhenliang said, “Laparoscopic parastomal hernia repair has the advantages of less trauma, less postoperative pain, faster recovery and lower recurrence rate, making it an ideal choice for treating parastomal hernia.” Ways to reduce the incidence of parastomal hernia ◆ Keep stools smooth and soft to avoid bloating, which can be treated by dietary regulation and medication; ◆ Avoid situations of increased intra-abdominal pressure, such as violent and frequent coughing and sneezing; ◆ Avoid heavy physical labor and strenuous activities; ◆ Wear the stoma lap band reasonably; ◆ Exercise appropriately to enhance the elasticity of abdominal muscles; ◆ Maintain proper weight to prevent obesity. If there is any bulge at the stoma, go to the hospital for consultation in time.