Incisional mesh hernioplasty following spontaneous stoma closure: A case report

Figure 1 Computed tomography revealed a 4 cm × 5 cm incisional hernia at the site of the initial surgical stoma. A: Computed tomography (CT) of transverse loop colostomy; B: Site of the loop colostomy, which underwent spontaneous closure, and had completely epithelialized skin; C: Only a small amount of white scar tissue was found in the transverse colon area during colonoscopy; D: Preoperative CT of incisional hernia after spontaneous closure of the transverse loop colostomy (orange arrow); E: Postoperative CT showed no evidence of hernia recurrence (star symbol). The orange arrow showed the hernia mesh and metal nail.

Figure 2 Probable process of spontaneous stoma closure with gradual stoma retraction. A: Schematic diagram of colostomy; B: Suture fixation point gradually changing from bulging to concave; C: Suture fixation point further inwardly curve and more towards the center; D: After the skin scar hyperplasia healed, the spontaneous stoma closure formed.