A new hybrid parastomal endoscopic repair (HyPER) demonstrates effectiveness for complex hernia cases.

• In a study of 200 patients, overall recurrence rate was just 5.5%.
• Postoperative complications occurred in 12.5%, mainly wound infections.

Quality of life significantly improved, with VAS scores rising from 3.15 to 9.15.

• Stoma relocation necessary in 87% of type IV hernias, indicating careful patient selection is vital.