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A, Balloon of urinary catheter in ostomy limb for ease of identification. B, Vessiloop (Getz Bros, Chicago, Illinois, USA) around ostomy limb to aid its lateralization. C, Extensive overlapping of the parastomal hernia defect with mesh. D, ostomy limb in tunnel under mesh and fibrin sealant sprayed along mesh–ostomy interface, periphery of mesh, and staples.
