ArticleSurgical endoscopy2021
From keyhole to sandwich: change in laparoscopic repair of parastomal hernias at a single centre.
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 14 papers, 4 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Outcomes of surgical techniques for parastomal hernia repair: a bayesian network meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled 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
- Hybrid parastomal endoscopic repair (HyPER): a retrospective case series of 200 patients treated over ten years at a single center.Surgical endoscopy · 2026Article
- Sandwich parastomal hernia repair, a prospective observational study.Hernia : the journal of hernias and abdominal wall surgery · 2025Observational
- The Local Parastomal Hernia (LoPa) Repair: A Novel Approach to Parastomal Hernia Repair.Journal of abdominal wall surgery : JAWS · 2025Article
- Evaluating EHS parastomal hernia classification for surgical planning: a retrospective analysis of 160 consecutive cases in a single center.Hernia : the journal of hernias and abdominal wall surgery · 2024Observational
- Comparison of the 3-D mesh and Sugarbaker repair for parastomal hernia: a single center experience in China.Updates in surgery · 2024Observational
- Repair of parastomal hernia after Bricker procedure: retrospective consecutive experience of a tertiary center.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Analysis of recurrence and risk factors in laparoscopic sandwich technique for parastomal hernia repair.Surgical endoscopy · 2023Observational
- Surgical strategies for recurrent parastomal hernia after a primary repair with a DynameshHernia : the journal of hernias and abdominal wall surgery · 2023Article
- Synthetic Mesh in Contaminated Abdominal Wall Surgery: Friend or Foe? A Literature Review.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022Review
- Modified Laparoscopic Sugarbaker Repair of Parastomal Hernia With a Totally Extraperitoneal Technique.Frontiers in surgery · 2021Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNearly 50% of patients with an ostomy will develop a parastomal hernia (PSH). Its repair remains a surgical challenge. Both laparoscopic "modified Sugarbaker" (SB) and Keyhole (KH) repair are currently in use, frequently with unsatisfactory results.''Sandwich Repair'' (SR) may be an alternative to reduce recurrence rates. We present the change of our technique from KH to SR.
methodsWe collected data from all consecutive laparoscopic PSH repairs at our institution from 2004 until now (from 2004 to 2013 treated with KH, from 2014 with SR) and compared the results of the two groups. Primary endpoint was recurrence rate at 1 year. Secondary outcomes were operative time, PO length of hospital stay (LOS), and short and long-term complications.
results13 patients underwent SR. Main changes in surgical technique concerned primary defect closure, no stay sutures, use of glue for first mesh fixation, and partial lateral covering of the underlying mesh with a peritoneal flap. Early postoperative course after SR was uneventful and no recurrence at 1 year was recorded. In the KH group (19 patients), short-term complications occurred in two cases (10%), with one parietal hematoma and one case of intensive pain; we had four recurrences at 1 year (21%). LOS was shorter in the SR group (mean 4 days vs 6, p = 0.004). The KH group had 2 (10%) occurrences of chronic seroma and one bowel perforation (5%), while the SR group had one (8%) occurrence of chronic pain. Median follow-up was 26 months (range 13-78) for the SR group and 47 months (12-105) for the KH group.
conclusionSR is safe and effective in expert hands and provides promising preliminary results.
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