ArticleSurgical endoscopy2013
The laparoscopic modified Sugarbaker technique is safe and has a low recurrence rate: a multicenter cohort study.
Article in Surgical endoscopy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 37 papers, 9 of them syntheses that pooled it.
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Who cites it
37 citing papers in PubMed, 9 syntheses or guidelines pooled it.
- Comparison of different mesh placement techniques for parastomal hernia repair: an updated systematic review and network meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- End-colostomy parastomal hernia repair: a systematic review on laparoscopic and robotic approaches.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- Laparoscopic parastomal hernia repair: keyhole, Sugarbaker, sandwich, or hybrid technique with 3D mesh? An updated systematic review and meta-analysis.Langenbeck's archives of surgery · 2023Pooled it
- Sugarbaker Versus Keyhole Repair for Parastomal Hernia: a Systematic Review and Meta-analysis of Comparative Studies.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Pooled it
- Comparison of different modalities for the diagnosis of parastomal hernia: a systematic review.International journal of colorectal disease · 2020Pooled it
- European Hernia Society guidelines on prevention and treatment of parastomal hernias.Hernia : the journal of hernias and abdominal wall surgery · 2018Guideline
- Prophylactic mesh to prevent parastomal hernia after end colostomy: a meta-analysis and trial sequential analysis.Hernia : the journal of hernias and abdominal wall surgery · 2017Pooled it
- Laparoscopic ventral/incisional hernia repair: updated Consensus Development Conference based guidelines [corrected].Surgical endoscopy · 2015Guideline
- Current state of laparoscopic parastomal hernia repair: A meta-analysis.World journal of gastroenterology · 2015Pooled it
- Long-term assessment of parastomal hernia prevention by intra-peritoneal mesh reinforcement according to the modified Sugarbaker technique.Surgical endoscopy · 2016Trial
- The concept of Laparoscopic Intracorporeal Rectus Aponeuroplasty (LIRA) technique in complex abdominal hernias based on size and location.BMC surgery · 2026Article
- Robotic parastomal hernia repair with reinforced tissue matrix; lessons learned from our 74-patient cohort.Journal of abdominal wall surgery : JAWS · 2026Article
- Comparison of recurrence and quality-of-Life outcomes after robotic versus laparoscopic parastomal hernia repair: a retrospective analysis of the abdominal core health quality collaborative.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Parastomal Hernia Repair: A Four-Year Single-Centre Experience With Elective and Emergency Outcomes.Cureus · 2025Article
- Robotic sugarbaker parastomal hernia repair: updated series and outcomes.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- The Local Parastomal Hernia (LoPa) Repair: A Novel Approach to Parastomal Hernia Repair.Journal of abdominal wall surgery : JAWS · 2025Article
- Robotic modified Sugarbaker technique for parastomal hernia repair: a standardized approach.Updates in surgery · 2024Article
- Case of laparoscopic parastomal hernia repair using modified Sugarbaker mesh method.Journal of surgical case reports · 2022Article
- Laparoscopic parastomal hernia repair delays recurrence relative to open repair.Surgical endoscopy · 2021Article
- Preoperative Progressive Pneumoperitoneum and Botulinum Toxin Type A in Patients With Large Parastomal Hernia.Frontiers in surgery · 2021Article
Corrections and comments
- Erratum issued
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundParastomal hernia is a frequent complication of intestinal stomata. Mesh repair gives the best results, with the mesh inserted via laparotomy or laparoscopically. It was the aim of this retrospective multicenter study to determine the early and late results of the laparoscopically performed, modified Sugarbaker technique with ePTFE mesh.
methodsFrom 2005 to 2010, a total of 61 consecutive patients (mean age = 61 years), with a symptomatic parastomal hernia, underwent laparoscopic repair using the modified Sugarbaker technique with ePTFE mesh. Fifty-five patients had a colostomy, 4 patients an ileostomy, and 2 a urostomy according to Bricker. The records of the patients were reviewed with respect to patient characteristics, postoperative morbidity, and mortality. All patients underwent physical examination after a follow-up of at least 1 year to detect a recurrent hernia. Morbidity rate was 19 % and included wound infection (n = 1), ileus (n = 2), trocar site bleeding (n = 2), reintervention (n = 2), and pneumonia (n = 1). One patient died in the postoperative period due to metastasis of lung carcinoma that caused bowel obstruction. Concomitant incisional hernias were detected in 25 of 61 patients (41 %) and could be repaired at the same time in all cases. A recurrent hernia was found in three patients at physical examination, and in one patient an asymptomatic recurrence was found on a CT scan. The overall recurrence rate was 6.6 % after a mean follow-up of 26 months.
conclusionThe laparoscopic Sugarbaker technique is a safe procedure for repairing parastomal hernias. In our study, the overall morbidity was 19 % and the recurrence rate was 6.6 % after a mean follow-up of 26 months. Moreover, the laparoscopic approach revealed concomitant hernias in 41 % of the patients, which could be repaired successfully at the same time.
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