SynthesisLangenbeck's archives of surgery2023
Laparoscopic parastomal hernia repair: keyhole, Sugarbaker, sandwich, or hybrid technique with 3D mesh? An updated systematic review and meta-analysis.
Synthesis in Langenbeck's archives of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
20 citing papers in PubMed, 2 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
- Racial disparities in outcomes after parastomal hernia repair: a national analysis.Surgical endoscopy · 2026Article
- Parastomal Hernia: Rethinking Prevention and Repair in Contemporary Colorectal Surgery.ANZ journal of surgery · 2026Article
- Laparoscopic repair of iatrogenic diaphragmatic hernia following pedicled omentoplasty using a modified Sugarbaker technique with round ligament reinforcement.Journal of surgical case reports · 2026Article
- Parastomal hernia in the difficult patient: is Tophat plasty the solution?Hernia : the journal of hernias and abdominal wall surgery · 2026Observational
- Endoscopic totally extraperitoneal repair for parastomal hernia using the ePauli technique.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Operative management of recurrent parastomal hernias after transversus abdominis release: a single-center experience.Surgical endoscopy · 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
- Age as a non-contraindication for surgical intervention in patients with abdominal wall incisional hernia: an exploration and analysis.Langenbeck's archives of surgery · 2025Article
- Sandwich parastomal hernia repair, a prospective observational study.Hernia : the journal of hernias and abdominal wall surgery · 2025Observational
- The TRAPPIST Repair: A Novel TRAnsabdominal PrePeritoneal Intervention for ParaSTomal Hernias - Case Report With Video-Vignette.Journal of abdominal wall surgery : JAWS · 2025Article
- The Local Parastomal Hernia (LoPa) Repair: A Novel Approach to Parastomal Hernia Repair.Journal of abdominal wall surgery : JAWS · 2025Article
- Early outcomes of robotic modified retromuscular Sugarbaker technique for end colostomy parastomal hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- 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 hernias with the intraperitoneal funnel meshes IPST-R and IPST.Scientific reports · 2024Observational
- Parastomal hernia repair according to Modified Stapled Mesh Stoma Reinforcement Technique (mSMART): which are the results ?Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Parastomal hernia repair, trying to optimize the impossible reconstruction.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Case Report: Combined Laparoscopic Perineal Hernia and Abdominal Parastomal Hernia Repair With a Mesh After Abdominoperineal Resection: A Video Vignette and Review of the Literature.Journal of abdominal wall surgery : JAWS · 2024Article
- Risk factors for parastomal hernia after abdominoperineal resection of rectal cancer.Frontiers in oncology · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeParastomal hernia is the most common complication after stoma formation with an incidence that approaches 50% at 2 years postoperatively. In the last decade, different approaches of minimally invasive procedures have been proposed for the treatment of parastomal hernia. Nevertheless, the superiority of one technique over the others remains still unclear. Our objective was to update and systematically analyze current state of research concerning the postoperative outcomes of the four most prevalent minimally invasive techniques.
methodsA systematic literature search of three databases (Medline, Scopus, Google Scholar) was undertaken for articles published from January 2015 to November 2022. Fifteen studies from a previous meta-analysis on the topic were included.
resultsThirty-three studies incorporating 1289 total patients were deemed eligible for inclusion in the final analysis. The keyhole technique was associated with the highest incidence of postoperative complications and recurrences (31.3% and 24.1%, respectively), followed by the Sugarbaker technique (27.6% and 9%, respectively). Operative time was among the lowest in patients operated with the 3D mesh technique, while patients undergoing the keyhole technique experienced the shortest cumulative length of hospital stay (6 days).
conclusionEach technique demonstrates a unique profile of effectiveness offset by the propensity towards developing postoperative complications. While no conclusive evidence on the optimal technique exist to date, newer minimally invasive techniques show promising results, albeit based on limited data. The future of parastomal hernia repair seems to rely on a highly individualized approach, tailored to the distinctive characteristics of both the hernia and the patient.
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