ArticleSurgical endoscopy2021
Laparoscopic parastomal hernia repair delays recurrence relative to open repair.
Article in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 6 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Parastomal Hernia: direct repair versus relocation: is stoma relocation worth the risk? A comparative meta-analysis and systematic review.Updates in surgery · 2026Pooled it
- Robotic-assisted surgery for parastomal hernia repair: a systematic review and meta-analysis.Journal of robotic surgery · 2026Pooled it
- Minimally Invasive Versus Open Parastomal Hernia Repair: A Comprehensive Systematic Review and Meta-Analysis.World journal of 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 treatment of ventral hernias: the Italian national guidelines.Updates in surgery · 2023Guideline
- 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
- Long-term outcomes of open local onlay mesh parastomal hernia repair with ostomy revision.Surgical endoscopy · 2026Article
- Endoscopic totally extraperitoneal repair for parastomal hernia using the ePauli technique.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Preliminary Results of Extraperitoneal Rectus Abdominis Anterior Sigmoid Colostomy (ERASC) for Prevention of Parastomal Hernia Following Abdominoperineal Resection.Clinical and experimental gastroenterology · 2026Article
- Operative management of recurrent parastomal hernias after transversus abdominis release: a single-center experience.Surgical endoscopy · 2026Article
- Comparison of the 3-D mesh and Sugarbaker repair for parastomal hernia: a single center experience in China.Updates in surgery · 2024Observational
- Illeal conduit associated parastomal hernias: A novel laparoscopic top hat repair.Urology case reports · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMesh repair of parastomal hernia is widely accepted as superior to non-mesh repair, yet the most favorable surgical approach is a subject of continued debate. The aim of this study was to compare the clinical outcomes of open versus laparoscopic parastomal hernia repair.
methodsAn IRB-approved retrospective review was conducted comparing laparoscopic (LPHR) or open (OPHR) parastomal hernia repair performed between 2009 and 2017 at our facilities. Patient demographics, preoperative characteristics, operative details, and clinical outcomes were compared by surgical approach. Subgroup analysis was performed by location of mesh placement. Repair longevity was measured using Kaplan-Meier method and Cox proportional hazards regression. Intention to treat analysis was used for this study based on initial approach to the repair.
resultsSixty-two patients (average age of 61 years) underwent repair (31 LPHR, 31 OPHR). Patient age, gender, BMI, ASA Class, and comorbidity status were similar between OPHR and LPHR. Stoma relocation was more common in OPHR (32% vs 7%, p = .022). Open sublay subgroup was similar to LPHR in terms of wound class and relocation. Open "Other" and Sublay subgroups resulted in more wound complications compared to LPHR (70% and 48% vs 27%, p = .036). Operative duration and hospital length of stay were less with LPHR (p < .001). After adjustment for prior hernia repair, risk of recurrence was higher for OPHR (p = .022) and Open Sublay and Other subgroups compared to LPHR (p = .005 and p = .027, respectively).
conclusionsLaparoscopic repair of parastomal hernias is associated with shorter operative duration, decreased length of stay, fewer short-term wound complications, and increased longevity of repair compared to open repairs. Direct comparison of repair longevity between LPHR and OPHR with mesh using Kaplan-Meier estimate is unique to this study. Further study is warranted to better understand methods of parastomal hernia repair associated with fewer complications and increased durability.
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