Evidence map›Paper›PMID 39212762›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2024

Early outcomes of robotic modified retromuscular Sugarbaker technique for end colostomy parastomal hernia repair.

Alberto G Barranquero, Yolanda Maestre González, Cristina Gas Ruiz, Marta Sadurni Gracia, Jorge Juan Olsina Kissler, Rafael Villalobos Mori

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In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Endoscopic totally extraperitoneal repair for parastomal hernia using the ePauli technique.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Article
  5. Article
  6. Parastomal hernia repair using retromuscular 3D funnel mesh: the "Sugar Funnel" technique.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Alberto G BarranqueroAbdominal Wall Surgery Division, General and Digestive Surgery Department, Hospital Universitari Arnau de Vilanova, Av. Alcalde Rovira Roure, 80, Lleida, 25198, Catalonia, Spain. agbarranquero.es@gmail.com.ORCID 0000-0001-8510-8210
Yolanda Maestre GonzálezAbdominal Wall Surgery Division, General and Digestive Surgery Department, Hospital Universitari Arnau de Vilanova, Av. Alcalde Rovira Roure, 80, Lleida, 25198, Catalonia, Spain.
Cristina Gas RuizAbdominal Wall Surgery Division, General and Digestive Surgery Department, Hospital Universitari Arnau de Vilanova, Av. Alcalde Rovira Roure, 80, Lleida, 25198, Catalonia, Spain.
Marta Sadurni GraciaGeneral and Digestive Surgery Department, Hospital Universitari Arnau de Vilanova, Lleida, Spain.
Jorge Juan Olsina KisslerGeneral and Digestive Surgery Department, Hospital Universitari Arnau de Vilanova, Lleida, Spain.
Rafael Villalobos MoriAbdominal Wall Surgery Division, General and Digestive Surgery Department, Hospital Universitari Arnau de Vilanova, Av. Alcalde Rovira Roure, 80, Lleida, 25198, Catalonia, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe modified retromuscular Sugarbaker or Pauli technique is a technique for parastomal hernia repair, which requires the dissection of the retromuscular space and a transversus abdominis release for stoma lateralization and placement of a retromuscular mesh. Given the limited evidence regarding the robotic approach to this technique, this study aims to evaluate the outcomes of this newly introduced procedure, focusing on the rate of 30-day complications and recurrence rates.

methodsRetrospective case series report. Patients included underwent an elective robotic modified retromuscular Sugarbaker technique for the repair of a parastomal hernia associated with an end colostomy. All surgeries were performed at a tertiary referral center from September 2020 to December 2023.

resultsA total of 21 patients underwent a robotic modified retromuscular Sugarbaker in our study. The parastomal hernias operated on were classified according to the European Hernia Society as 9.5% (2/21) type I, 52.4% (11/21) type II, 23.8% (5/21) type III, 14.3% (3/21) type IV. Early complications observed included 14.3% (3/21) seroma, 9.5% (2/21) surgical site infection, 19% (4/21) postoperative ileus, and one case of large bowel obstruction due to colitis (4.8%), which was managed conservatively. No Clavien-Dindo grade III complications were reported. The overall recurrence rate was 9.5% (2/21) with a median follow-up of 12.5 months (IQR: 3.9-21.3). Both recurrences occurred during the early phases of the learning curve and were possibly attributed to insufficient lateralization of the stoma.

conclusionRobotic modified retromuscular Sugarbaker for parastomal hernia repair is a challenging procedure with promising early outcomes.

Indexed as

ColostomyHernia, VentralHerniorrhaphyRobotic Surgical ProceduresAgedFemaleHumansIncisional HerniaMaleMiddle AgedPostoperative ComplicationsRecurrenceRetrospective StudiesSurgical MeshSurgical StomasTreatment OutcomeColostomy, adverse effectsHernia, ventralIncisional herniaPostoperative complicationsRecurrenceSurgical mesh

Identifiers

PMID39212762

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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.