Related Experiment Video
Updated: May 17, 2026
Laparoscopic Pancreatoduodenectomy With Modified Blumgart Pancreaticojejunostomy
Published on: June 17, 2018
The laparoscopic modified Sugarbaker technique is safe and has a low recurrence rate: a multicenter cohort study
B M E Hansson1, S Morales-Conde, T Mussack
1Department of Surgery, Canisius-Wilhelmina Hospital, PO Box 9015, 6500 GS Nijmegen, The Netherlands. birgittahansson@hotmail.com
Background:
Parastomal hernia is a frequent complication of intestinal stomata. Mesh repair gives the best results, with the mesh inserted via laparotomy or laparoscopically. It was the aim of this retrospective multicenter study to determine the early and late results of the laparoscopically performed, modified Sugarbaker technique with ePTFE mesh.
Methods:
From 2005 to 2010, a total of 61 consecutive patients (mean age = 61 years), with a symptomatic parastomal hernia, underwent laparoscopic repair using the modified Sugarbaker technique with ePTFE mesh. Fifty-five patients had a colostomy, 4 patients an ileostomy, and 2 a urostomy according to Bricker. The records of the patients were reviewed with respect to patient characteristics, postoperative morbidity, and mortality. All patients underwent physical examination after a follow-up of at least 1 year to detect a recurrent hernia. Morbidity rate was 19 % and included wound infection (n = 1), ileus (n = 2), trocar site bleeding (n = 2), reintervention (n = 2), and pneumonia (n = 1). One patient died in the postoperative period due to metastasis of lung carcinoma that caused bowel obstruction. Concomitant incisional hernias were detected in 25 of 61 patients (41 %) and could be repaired at the same time in all cases. A recurrent hernia was found in three patients at physical examination, and in one patient an asymptomatic recurrence was found on a CT scan. The overall recurrence rate was 6.6 % after a mean follow-up of 26 months.
Conclusion:
The laparoscopic Sugarbaker technique is a safe procedure for repairing parastomal hernias. In our study, the overall morbidity was 19 % and the recurrence rate was 6.6 % after a mean follow-up of 26 months. Moreover, the laparoscopic approach revealed concomitant hernias in 41 % of the patients, which could be repaired successfully at the same time.
Insights
Laparoscopic Sugarbaker technique effectively repairs parastomal hernias with a 6.6% recurrence rate. This minimally invasive approach also identifies and treats concomitant hernias, improving patient outcomes.
Area of Science:
- Abdominal Surgery
- Gastroenterology
- Surgical Innovation
Background:
- Parastomal hernia is a common complication following intestinal stoma creation.
- Mesh repair, either open or laparoscopic, offers the best outcomes.
- The modified Sugarbaker technique using ePTFE mesh is a laparoscopic approach.
Purpose of the Study:
- To evaluate the early and late results of the laparoscopic modified Sugarbaker technique for parastomal hernia repair.
- To assess the safety and efficacy of this technique in a multicenter setting.
Main Methods:
- Retrospective multicenter study of 61 patients undergoing laparoscopic parastomal hernia repair (2005-2010).
- Modified Sugarbaker technique with ePTFE mesh was employed.
- Patients were followed for at least 1 year, with assessment of morbidity, mortality, and hernia recurrence.
Main Results:
- Overall morbidity rate was 19%, including wound infection, ileus, bleeding, and pneumonia.
- Concomitant incisional hernias were found in 41% of patients and successfully repaired.
- The overall recurrence rate was 6.6% after a mean follow-up of 26 months.
Conclusions:
- The laparoscopic Sugarbaker technique is a safe and effective method for parastomal hernia repair.
- The technique demonstrates a low recurrence rate and allows for simultaneous repair of associated hernias.
- Laparoscopic approach facilitates detection and management of unexpected concomitant hernias.