Parastomal hernia repair with the Sugarbaker technique using e-PTFE mesh

Abstract

Purposes: Although surgery is commonly used to treat parastomal hernia, it is very difficult and has shown poor results. Recently, repair with prosthetic materials has been thought to be a more promising method.

Methods: The Sugarbaker technique with e-PTFE mesh (Dualmesh^®) performed via open surgery was adopted for seven patients with parastomal hernia. Two of them were recurrent cases. Three of the patients experienced incarceration of the intestine and recovered conservatively before surgery. The median age of the patients at the parastomal hernia repair was 77.6 years old (range 37.7-84.7).

Results: The median operative time was 211 min (range 147-256). The median hernia size was 28 cm² (range 7.5-60 cm²). The median amount of blood loss during the operation was 158 g (range 0-370 g). Surgical site infection was not observed. The postoperative median hospital stay was 17 days (range 13-40) and the median follow-up was 2.4 years (range 1.0-3.7). During the follow-up period, we did not observe recurrence or readmission.

Conclusions: The surgical results were satisfactory with minimal morbidity and no recurrences. The Sugarbaker technique for parastomal repair using e-PTFE mesh may be suitable as a standard method for treating parastomal hernia.

Keywords: Hernia repair; Parastomal hernia; Sugarbaker technique; Synthetic material; e-PTFE.