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Updated: Oct 8, 2025
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Published on: September 11, 2021
Feasibility of using a tailored mesh in laparoscopic Sugarbaker parastomal hernia repair
Katsuhito Suwa1, Takuro Ushigome1, Hiroya Enomoto1
1Department of Surgery, The Jikei University Daisan Hospital, Tokyo, Japan.
Background:
In parastomal hernia (PH) repair, laparoscopic Sugarbaker technique (LS) is considered the best practice; however, meshes specific for LS repairs ceased to be available.
Purpose:
The aim of the study was to evaluate feasibility of using a physician-modified mesh (tailored mesh: TM) in LS.
Methods:
Thirty-three patients who underwent LS for PH between June 2012 and September 2021 were examined to compare surgical outcomes between LS with TM (n = 11) and with a ready-made specific mesh (SM, n = 22). All meshes were coated plastic meshes. Statistical analysis was performed with the Mann-Whitney U test and Fisher's exact test. P < .05 was considered to be statistically significant.
Results:
We compared the outcomes of TM with SM in LS for similar hernia types during median follow-up periods of 23 (range, 2-29) and 74 (range, 36-110) months (P < .0001), respectively. The median operation times were 146 (range, 45-423) for TM and 193 (range, 65-386) minutes for SM (P = .2301). Perioperative complications were observed in one TM patient (9%) and two SM patients (9%) (P = 1.0000). The lengths of postoperative stay were similar. Recurrence was observed in two cases in the SM group (9%) within 1 year after the operation.
Conclusion:
In LS, TM seems to be a feasible mesh comparable to SM within short- and mid-term follow-up.
