Single center experience with the modified retromuscular Sugarbaker technique for parastomal hernia repair

Abstract

The outcomes of the retromuscular Sugarbaker technique for the management of parastomal hernias have been disappointing at our institution, with a concerning rate of serious mesh-related complications. This operation, as originally described, needs further study before widespread adoption with a particular focus on the technique of mesh placement, the most appropriate mesh selection, and the long-term rate of mesh erosion.

Laparoscopic parastomal herniorrhaphy utilizing transversus abdominis release and a modified Sugarbaker technique: A case report

“…However, this technique also has three shortcomings: (a) potential mesh‐related complications and erosion of the bowel, 5 (b) lack of data concerning long‐term outcomes, 4 and (c) technical difficulty. With regard to difficulty, Pauli parastomal hernia repair should not be performed by someone unfamiliar with TAR and Sugarbaker repair techniques 4 …”

Parastomal Hernia Repair; Seldom Performed and Seldom Reported: Results From a Nationwide Survey

“…Population-based studies on incidence and prevalence of PSH are rare, and studies on rate of PSH repair are even rarer (4,5). However, there is an abundance of studies describing outcome of elective PSH repair, though these are often from a single center, describing a specific method of repair often with specific prosthetic material (6)(7)(8). Recurrence rates after PSH surgery in modern studies range from 3% to 22% (7)(8)(9)(10).…”

“…However, there is an abundance of studies describing outcome of elective PSH repair, though these are often from a single center, describing a specific method of repair often with specific prosthetic material (6)(7)(8). Recurrence rates after PSH surgery in modern studies range from 3% to 22% (7)(8)(9)(10). Furthermore, there are few studies on emergency PSH repair, and these have shown high complication rates, including a 13.2% reoperation rate and 6.3% mortality rate, both at 1 month (4)(5)(6).…”

Endoscopic Totally Extraperitoneal Repair of Parastomal Hernia: A Case Report

“…Extraperitoneal mesh placement by laparoscopy can improve the surgical results and achieve a better clinical outcome while reducing the overall cost of treatment. The totally endoscopic sublay (TES) technique has been previously described ( 11 ) and extraperitoneal/sublay parastomal hernia repair has been explored in open, laparoscopic, endoscopic, and robotic surgeries ( 12 – 17 ). Here we present a case of a 74-year-old patient with parastomal hernia and a history of open radical resection treated with a totally extraperitoneal (TEP) endoscopic approach, with a good clinical outcome.…”