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Parastomal hernia repair: a single center experience.
Danielle M Pastor1, Eric M Pauli, Walter A Koltun
1Division of Colon & Rectal Surgery, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania 17033, USA. dpastor@psu.edu
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|August 8, 2009
Summary
Parastomal hernia repair using the laparoscopic Sugarbaker technique shows promising results, offering a viable alternative to open surgery. This method may lead to shorter hospital stays and comparable recurrence rates for parastomal hernia treatment.
Area of Science:
- Surgical Oncology
- Gastroenterology
- Abdominal Surgery
Background:
- Parastomal hernias are a common complication following ostomy creation.
- Existing surgical repair options for parastomal hernias often yield suboptimal outcomes.
- The Sugarbaker technique is a modified approach for parastomal hernia repair.
Purpose of the Study:
- To evaluate the effectiveness and outcomes of laparoscopic versus open parastomal hernia repair.
- To compare complication rates and recurrence following different surgical approaches.
- To assess the feasibility of the laparoscopic modified Sugarbaker technique.
Main Methods:
- A retrospective chart review of patients undergoing parastomal hernia repair (laparoscopic or open) between 1999 and 2006.
- Data collection included patient demographics, stoma creation indications, operative details, length of stay, complications, and recurrence.
- Statistical analysis was performed to compare outcomes between laparoscopic and open repair groups.
Main Results:
- Twenty-five patients were analyzed: 11 laparoscopic repairs and 13 open repairs.
- Laparoscopic repair had a shorter length of stay (3.1 days vs. 5.1 days, P=0.05).
- Recurrence rates were 33.3% for laparoscopic and 53.8% for open repair (P=0.43).
Conclusions:
- Laparoscopic parastomal hernia repair, particularly the modified Sugarbaker technique, presents a viable alternative to open repair.
- The laparoscopic approach may offer benefits in terms of reduced hospital stay.
- Further research may be warranted to optimize techniques and long-term outcomes.
