A 56-year-old man presented with a fifth recurrence of a herniation around an ilial conduit stoma site. The abdomen was opened through a midline incision and the stoma site visualized. Two non-absorbable braided 2-0 sutures (shown) were placed to begin to narrow the fascial defect.
The fascial defect was bridged with two 4x7 cm patches of acellular human tissue matrix (see discussion). The matrix was tacked to the transversalis fascia with 2-0 polypropylene. The strips were sutured together, leaving a snug ring around the ilial loop.
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