Parastomal ileal loop hernia repair with marlex mesh

We report a case of a complicated ileal conduit parastomal hernia that was repaired using marlex mesh. The characteristics of this material and the techniques of its use are described. When primary repair of a parastomal hernia is not possible without tension, marlex mesh may be used to reinforce or even to replace the fascia. The stoma may be brought out adjacent to or possibly even through the mesh.