Inclusion Criteria:  - adult patients, planned for primary elective laparoscopic hernia repair of an end-colostomy.  Exclusion Criteria:  previous repair of a parastomal hernia at the same site emergency operations open parastomal hernia repair parastomal hernias at an ileostomy or an ileal conduit stoma loop colostomies patients under the age of 18 years pregnant women ASA score 4 or more no informed consent of the patient patients unable to complete the stoma Quality of Life assessment