ArticleTechniques in coloproctology2026
A novel retro-muscular Sugarbaker technique for parastomal hernia prevention in end colostomy: combination of laparoscopic posterior component separation and extraperitoneal bowel pull-through-a prospective, single-arm study using the IDEAL framework.
Article in Techniques in coloproctology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
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
Abstract
backgroundParastomal hernia (PSH) is a common complication following stoma formation. Although prophylactic mesh placement initially showed promise, recent long-term follow-up randomized trials have demonstrated its ineffectiveness. To enhance PSH prevention, modifications to techniques and mesh selection are necessary.
methodThis study aims to develop a novel technique for prophylactic retro-muscular mesh placement in a Sugarbaker configuration. The proposed solution involves a combination of posterior component separation and an extraperitoneal route for end sigmoidal colostomy. The technique has undergone three phases of refinement: Initially, posterior component separation was performed using finger dissection. The mesh was then placed in either a preperitoneal (Open-PP) or a retro-muscular position (Open-RM). Finally, laparoscopic separation with mesh placement in the retro-muscular position (Lap-RM) was performed. The peri- and postoperative complications and outcomes were prospectively recorded and reported following the IDEAL frameworks (I-IIa stage).
resultsFrom a total of 58 patients, 43 successfully received prophylactic mesh placement: 8 via Open-PP, 20 via Open-RM, and 15 via Lap-RM. Patients in the Open-PP and Open-RM groups experienced more peritoneal ruptures than those in the Lap-RM group (54.5%, 44% vs. 13.3%). Two (2/43) of the patients who received mesh placement developed parastomal hernia during a median follow-up of 30 (18-42) months. However, 15 patients who were not considered for or failed this procedure had an incidence of 33.3%. Additionally, one patient experienced a mesh-related infection.
conclusionProphylactic retro-muscular mesh placement in a Sugarbaker configuration, achieved by combining single-port laparoscopic separation and an extraperitoneal route for colostomy, appears technically safe and feasible. The approach holds theoretical promise and likely results in a reduction in the incidence of PSH.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.