To explore the clinical efficacy and treatment experience of laparoscopic placement of IPST-specific hernia patch and open ostomy reconstruction in the treatment of stoma-side hernia.

: The clinical data of 52 patients with stoma-side hernia who underwent laparoscopic placement of IPST-specific hernia patch and open ostomy reconstruction from 2016 to 2024 were retrospectively analyzed. The size of the hernia ring, operation time, recovery time of intestinal function, postoperative hospital stay, and occurrence of postoperative complications were analyzed.

All 52 patients successfully completed the surgery. The size of the hernia ring was 5.5 (4~10)cm × 4.2 (3~8)cm. The operation time was 110 (90~120) minutes. The recovery time of intestinal function was 2 (1~5) days. The postoperative hospital stay was 6 (4~8) days. Postoperative follow-up was conducted for 30 (3~54) months. The incidence of postoperative complications was 1 case of exposed stoma intestinal perforation (see surgical complications ①) and 1 case of poor healing of the abdominal wall incision at the stoma site (see surgical complications ②). After conservative treatment, they improved. There was no infection, recurrence, seroma, intestinal obstruction, or stoma stenosis.

Laparoscopic placement of IPST-specific hernia patch and open ostomy reconstruction is a safe and effective surgical method for treating stoma-side hernia. It is more recommended for patients with large defects and stoma prolapse at the stoma side.