Evidence map›Paper›PMID 33941154›Full record

ArticleBMC surgery2021

Keyhole versus Sugarbaker techniques in parastomal hernia repair following ileal conduit urinary diversion: a retrospective nationwide cohort study.

Elisa Mäkäräinen-Uhlbäck, Jaana Vironen, Markku Vaarala, Pia Nordström, Anu Välikoski, Jyrki Kössi, Ville Falenius, Aristotelis Kechagias, Anne Mattila, Pasi Ohtonen and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Robotic sugarbaker parastomal hernia repair: updated series and outcomes.Hernia : the journal of hernias and abdominal wall surgery · 2025
    Article
  8. Prophylactic Mesh in Parastomal Hernia Prevention: Current Evidence.Journal of abdominal wall surgery : JAWS · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 7 institutions in 1 country.

Elisa Mäkäräinen-UhlbäckDivision of Surgery, Medical Research Center, Oulu University Hospital, University of Oulu, Oulu, Finland. elisa.makarainen-uhlback@ppshp.fi.ORCID http://orcid.org/0000-0003-4408-2514
Jaana VironenAbdominal Center, Helsinki University Hospital, Helsinki, Finland.
Markku VaaralaDivision of Surgery, Medical Research Center, Oulu University Hospital, University of Oulu, Oulu, Finland.
Pia NordströmDivision of Surgery, Gastroenterology, and Oncology, Tampere University Hospital, Tampere, Finland.
Anu VälikoskiDivision of Surgery, Gastroenterology, and Oncology, Tampere University Hospital, Tampere, Finland.
Jyrki KössiDivision of Surgery, Päijät-Häme Central Hospital, Lahti, Finland.
Ville FaleniusDivision of Surgery, University of Turku, Turku, Finland.
Aristotelis KechagiasDivision of Surgery, Kanta-Häme Central Hospital, Hämeenlinna, Finland.
Anne MattilaDivision of Surgery, Central Finland Central Hospital, Jyväskylä, Finland.
Pasi OhtonenDivision of Operative Care, Oulu University Hospital, Oulu, Finland.
Tom ScheininAbdominal Center, Helsinki University Hospital, Helsinki, Finland.
Tero RautioDivision of Surgery, Medical Research Center, Oulu University Hospital, University of Oulu, Oulu, Finland.
Oulu University Hospital · FIHelsinki University Hospital · FITampere University Hospital · FICentral Finland Health Care District · FIKanta-Hämeen Keskussairaala · FIPäijät-Hämeen Keskussairaala · FIUniversity of Turku · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious research on parastomal hernia repair following ileal conduit urinary diversion is limited. This nationwide cohort study aims to present the results of keyhole and Sugarbaker techniques in parastomal hernia repair in the setting of ileal conduit urinary diversion.

methodAll patients in this cohort underwent primary elective parastomal hernia repair following ileal conduit urinary diversion in four university hospitals and one central hospital in Finland in 2007-2017. Retrospective clinical data were collected from patient registries to compare keyhole and Sugarbaker parastomal hernia repair techniques. The primary outcome was parastomal hernia recurrence during the follow-up from primary surgery to the last confirmed follow-up date of the patient. The secondary outcomes were reoperations during the follow-up and complication rate at 30 days' follow-up.

resultsThe results of 28 hernioplasties were evaluated. The overall parastomal hernia recurrence rate was 18%, the re-operation rate was 14%, and the complication rate was 14% during the median follow-up time of 30 (21-64) months. Recurrence rates were 22% (4/18) after keyhole repair and 10% (1/10) after Sugarbaker repair. Re-operation rates referred to keyhole repair were 22% and Sugarbaker repair 0% during follow-up. The majority of reoperations were indicated by recurrence. Complication rates were 17% after keyhole and 10% after Sugarbaker repair during the 30 days' follow-up.

conclusionThe results of parastomal hernia repair in the setting of ileal conduits are below optimal in this nationwide cohort comparing keyhole to Sugarbaker repair in elective parastomal hernia repair. Nonetheless, the Sugarbaker technique should be further studied to confirm the encouraging results of this cohort in terms of recurrence.

Indexed as

Hernia, VentralSurgical StomasUrinary DiversionCohort StudiesFinlandHerniorrhaphyHumansNeoplasm Recurrence, LocalRetrospective StudiesSurgical MeshCystectomyHernia repairIleal conduit urinary diversionParastomal hernia

Identifiers

PMID33941154
PMCPMC8094461
OpenAlexW3159582475

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.