a Model of a parastomal hernia dissected down to the rectus sheath with contents reduced back inside the abdomen. The fascial defect can be readily appreciated; b The fascial defect closed with nonabsorbable suture, maintaining care to avoid narrowing the orifice too much; c The mesh should be cut in such a way that the mesh edge does not potentially erode into the bowel wall; d The mesh placed anterior to the anterior rectus sheath, sutures passed through the mesh and tied
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