Parastomal Hernia-the Achilles Heel of a Permanent

the paper; the authors did not use mesh repair for emergency cases. Although the probability of emergency surgery to repair a parastomal hernia is low, we should define the best treatment option for such an occasion, mesh or no mesh. With the development of bi-layer synthetic meshes and anti-biotics, we now used more synthetic meshes to repair parasto-mal hernias. Biologic meshes which are known to be resistant to infections are used more commonly in the western countries, but they are rarely used in Korea due to their high cost [2, 3]. Recently published review papers reported a general trend of lower recurrence rates with the use of synthetic meshes or bi-ologic meshes [4, 5]. The rate of surgical infection with synthetic meshes is around 10%, and the infections could be managed with antibiotics. However, there is no general consensus about the surgical techniques for mesh placement, and the follow-u