Totally laparoscopic combined perineal and parastomal hernia repair following pelvic exenteration and ileal conduit: A rare case report and technical aspects

Acquired perineal and parastomal hernias are rare but are known complications following extensive pelvic surgeries for oncological reasons with diversion urostoma or colostomy. The occurrence of both these hernias in a same patient is even rarer, with exact incidence unknown. Most of the literature describe case reports of combined perineal and parastomal hernias following abdominoperineal resection, which was managed either by open, laparoscopic or by robotic approach. We herein describe the first reported case of perineal and parastomal hernia in a 76-year-old woman following anterior pelvic exenteration and ileal conduit for carcinoma urinary bladder which was managed by total laparoscopic approach with favorable outcome at 1-year follow-up.