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Parastomal hernia repair with the Sugarbaker technique using e-PTFE mesh.
Yuji Funayama1, Ken-Ichi Takahashi2, Fumie Ikezawa2
1Department of Surgery, Sendai Red Cross Hospital, Sendai, Japan. yfunayama@sendai.jrc.or.jp.
Surgery Today
|February 28, 2015
Summary
The Sugarbaker technique using e-PTFE mesh offers a promising surgical approach for parastomal hernia repair, demonstrating satisfactory outcomes with minimal complications and no recurrence in a small patient cohort.
Area of Science:
- Surgical innovation in abdominal wall reconstruction.
- Gastrointestinal surgery and hernia repair.
Background:
- Parastomal hernia repair presents surgical challenges with historically poor outcomes.
- Prosthetic materials are increasingly explored for improved hernia repair efficacy.
Purpose of the Study:
- To evaluate the efficacy and safety of the Sugarbaker technique for parastomal hernia repair using e-PTFE mesh.
- To assess the feasibility of this technique as a standard treatment for parastomal hernias.
Main Methods:
- Seven patients with parastomal hernia underwent the Sugarbaker technique with e-PTFE mesh (Dualmesh®) via open surgery.
- Included recurrent cases and patients with prior intestinal incarceration managed conservatively.
- Median patient age was 77.6 years.
Main Results:
- Median operative time was 211 minutes, with a median hernia size of 28 cm².
- No surgical site infections were observed; median hospital stay was 17 days.
- Median follow-up of 2.4 years showed no recurrence or readmission.
Conclusions:
- The Sugarbaker technique with e-PTFE mesh yielded satisfactory surgical results for parastomal hernia.
- The method demonstrated minimal morbidity and excellent long-term outcomes, suggesting its potential as a standard treatment.
