Analysis of recurrence and risk factors in laparoscopic sandwich technique for parastomal hernia repair

End-colostomy parastomal hernia repair: a systematic review on laparoscopic and robotic approaches

“…Further studies are needed to better understand the methods of parastomal hernia repair associated with minor complications and increased duration F. Tang [ 50 ] 2020 Prospective, observational study 16 Rectectomy (Mile surgery) (16), Colectomy (5), Radical cystectomy (1), Traumatic intestinal rupture (1) Sugarbaker technique Colostomy (16), Ileostomy (6), Ileal orthotopic neobladder (1) 11 Composite-polyester mesh (PCO-PM 20) Intraperitoneal Dyspnea (1), seroma (1), intestinal obstruction (2), urinary infection (2), wound infection (1) 24 0 PPP causes a significant increase in abdominal volumes preoperatively, thereby facilitating the total reintegration of the bowel into the abdominal cavity. Through the progressive increase of VAC, PPP induces respiratory adaptation to the elevat ed intra-abdominal pressure following hernia repair A. G. Barranquero [ 36 ] 2023 Retrospective dual-center observational study 38 Sigmoidectomy (3), low anterior resection (12), abdominoperineal resection (21) Sandwich technique Loop colostomy (2), end colostomy (36) 11 TiMesh ® (29), DynaMesh ® IPOM (9) Intraperitoneal Seroma (15), Surgical site infection (2), Hematoma (3), Postoperative ileus (1) 39 3 The recurrence rates observed in the sandwich technique were in line with the rates documented in the current literature. Postoperative complications emerged as the primary risk factor for hernia recurrence in our study J. Bellido-Luque [ 35 ] 2023 Prospective study 12 Abdominoperineal resection for rectal cancer (10); Hartmann (2) Extraperitoneal modified Sugarbaker End colostomy (12) Unspecified Optilene Mesh elastic Retrorectus/left preperitoneal spaces Subcutaneous emphysema (2); Seroma (2); partial bowel obstruction (1) …”

“…By adopting the sandwich technique, in the report by Barranquero et al [ 36 ], repair was performed in 38 patients, with a median BMI of 29.2 kg/m 2 whose hernia was associated with an end colostomy in 94.7% of cases. The recurrence rate was 7.9%, with a median time for recurrence of 12 months, and a median follow-up of 39 months.…”

“…Such an approach is a blend of the KH and SB methods. The studies reported by Barranquero et al [ 36 ] and Bertoglio et al [ 37 ] showed a lower recurrence rate and shorter in-hospital stay when patients were operated on with such an approach, so suggesting a potential advantage over singular techniques.…”