ArticleAmerican journal of surgery2018
Parastomal hernia repair using the "top hat" technique - An initial experience in 30 patients at Memorial Sloan Kettering Cancer Center.
Article in American journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.
- Parastomal hernias after cystectomy and ileal conduit urinary diversion: surgical treatment and the use of prophylactic mesh: a systematic review.BMC surgery · 2022Pooled it
- Parastomal hernia in the difficult patient: is Tophat plasty the solution?Hernia : the journal of hernias and abdominal wall surgery · 2026Observational
- Robotic sugarbaker parastomal hernia repair: updated series and outcomes.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- How-I-do-it: minimally invasive repair of ileal conduit parastomal hernias.Langenbeck's archives of surgery · 2022Article
- Laparoscopic parastomal hernia repair delays recurrence relative to open repair.Surgical endoscopy · 2021Article
- Modified keyhole technique for the treatment of parastomal hernia: A case series.International journal of surgery case reports · 2020Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
Parastomal hernia repair remains a significant surgical challenge. Recurrence after standard "keyhole" or primary suture repair is common. We adopted and modified a new technique using a construct shaped like an inverted top hat. We review our experience over the last six years in the first 30 patients (31 consecutive procedures). Of these 31 procedures, six (19%) resulted in a parastomal hernia recurrence with a median follow-up of 31 months (range 0.5-80). Four of the recurrences occurred in our initial experience, when we constructed the top hat of xenograft alone. When the technique was modified, using a synthetic composite mesh for the underlay portion of the hat, there were only two subsequent recurrences in 16 patients (13%) with a median follow-up of 22 months. One of these "recurrences" was secondary to infection of the top hat construct, which had to be removed. This initial success in preventing recurrence of parastomal hernia is probably due to the design of the construct, for it occludes the vulnerable stoma/fascial angle, through which most parastomal hernia recurrences occur.
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