Emergency sigmoid colonostomy surgery is usually needed for traumatic or iatrogenic rectum/sigmoid colon perforation, while wound infection and subsequent incisional hernia are common. This article aims to discuss how to simultaneously treat incisional hernia and sigmoid colon stoma with minimal trauma.

From January 2012 to July 2016, 3 cases of abdominal incisional hernia complicated with sigmoid colon stoma were treated in General Hospital of Ansteel Group. The clinical data were retrospectively analyzed.

All 3 patients underwent laparoscopic operation successfully. The operation time was 150-210 min with an average of 170 min. The blood loss was 20-70 ml. The patients were discharged from the hospital in 8 to 10 days after the surgery. Stoma incisions and trocar incisions were healed, without anastomotic leakage, abdominal infection, seroma and other complications. After a follow-up period of 6 to 48 months, no intestinal leakage, mesh removal and hernia recurrence occurred.

It is feasible to repair hernia with simultaneous sigmoid colon stoma closure. However, it is necessary to make proper mesh selection, careful intraoperative operation and rigorous perioperative management.