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Sugarbaker Versus Keyhole Repair for Parastomal Hernia: a Systematic Review and Meta-analysis of Comparative Studies
Andrew M Fleming1, Alisa L Phillips2, Justin A Drake3
1Department of Surgery, The University of Tennessee Health Science Center, 910 Madison Avenue, Memphis, TN, 38163, USA. aflemin8@uthsc.edu.
Summary
Parastomal hernia repair outcomes differ by technique. While Sugarbaker repair showed lower recurrence initially, modern studies indicate no significant difference compared to keyhole repair for parastomal hernia. Further trials are needed.
Area of Science:
- Surgical oncology
- Gastroenterology
- Abdominal surgery
Background:
- Parastomal hernia is a frequent complication after stoma creation.
- Mesh repair is standard for reducing recurrence rates.
- Conflicting data exists on optimal mesh repair techniques.
Conclusions:
- Initial meta-analysis suggested Sugarbaker repair superiority for parastomal hernia recurrence.
- Modern study subgroup analysis indicates no significant difference between Sugarbaker and keyhole repairs.
- Randomized controlled trials are recommended to further clarify optimal repair techniques and minimize bias.
