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Sugarbaker parastomal hernia

E Oma, B Pilsgaard, L N Jorgensen
PURPOSE: Different techniques and mesh materials are used in parastomal hernia repair with recently reported recurrence rates ranging from 10 to 28%. The aim of this cohort study was to examine the risk of recurrence and chronic pain after Sugarbaker or keyhole parastomal hernia repair with intraperitoneal placement of a polyester monofilament macroporous composite mesh. METHODS: Data on all patients undergoing parastomal hernia repair with Parietex™ Composite Parastomal Mesh at our institution during a 4-year period were examined...
January 3, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
L Tastaldi, I N Haskins, A J Perez, A S Prabhu, S Rosenblatt, M J Rosen
PURPOSE: Parastomal hernias are challenging to manage, and an optimal repair has yet to be defined. An open, modified, retromuscular Sugarbaker technique has recently been described in the literature as a technically feasible approach to parastomal hernia repair. This study evaluates our initial institutional experience with parastomal hernia repair with the aforementioned technique with respect to safety and durability. METHODS: All patients who underwent an open, modified retromuscular Sugarbaker parastomal hernia repair from 2014 through 2016 at our institution were identified...
August 24, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Sarah S Fox, Randy Janczyk, Jeremy A Warren, Alfredo M Carbonell, Benjamin K Poulose, Michael J Rosen, William W Hope
The purpose of this review was to evaluate outcomes relating to parastomal hernia repair. Data from the Americas Hernia Society Quality Collaborative were used to identify patients undergoing parastomal hernia repair from 2013 to 2016. Parastomal hernia repairs were compared with other repairs using Pearson's test and Wilcoxon test with a P value <0.05 considered significant. Parastomal hernia repairs were performed in 311 patients. Techniques of repair include open in 85 per cent and laparoscopic in 15 per cent...
August 1, 2017: American Surgeon
S Rajapandian, Samrat V Jankar, Sumanta Dey, Vikram Annamaneni, Sandeep C Sabnis, S Sathiymurthy, R Parthsarathi, P Praveen Raj, P Senthilnathan, C Palanivelu
Parastomal hernia is one of the most common but challenging complication after stoma formation. Modified Sugarbaker technique is the recommended procedure for repair parastomal hernia, however, keyhole repair technique had also been used in certain instances. In cases of parastomal hernia following ileal conduit procedure, the Sugarbaker technique is been described, although with associated theoretical risk of conduit failure. We are reporting a case of post-radical cystectomy with ileal conduit presented with symptomatic large parastomal hernia...
October 2017: Journal of Minimal Access Surgery
Manuel López-Cano, Xavier Serra-Aracils, Laura Mora, José Luis Sánchez-García, Luis Miguel Jiménez-Gómez, Marc Martí, Francesc Vallribera, Domenico Fraccalvieri, Anna Serracant, Esther Kreisler, Sebastiano Biondo, Eloy Espín, Salvador Navarro-Soto, Manuel Armengol-Carrasco
OBJECTIVE: The aim of this study was to assess the reduction in the incidence of parastomal hernia (PH) after placement of prophylactic synthetic mesh using a modified Sugarbaker technique when a permanent end-colostomy is needed. SUMMARY OF BACKGROUND DATA: Prevention of PH formation is crucial given the high prevalence of PH and difficulties in the surgical repair of PH. METHODS: A randomized, prospective, double-blind, and controlled trial...
December 2016: Annals of Surgery
M Krogsgaard, B Pilsgaard, T B Borglit, J Bentzen, L Balleby, P M Krarup
AIM: The symptom load and individual symptoms before and after repair of parastomal hernia were investigated. METHOD: Stoma-related symptoms were prospectively recorded before repair of a parastomal hernia and at 10 days and 6 months postoperatively: leakage, skin problems, difficulty with the appliance, limitation of activity, difficulty with clothing, cosmetic complaints, social restriction, erratic action of the stoma, a bearing-down sensation at the site of the stoma and pain...
February 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
Katsuhito Suwa, Shintaro Nakajima, Yoshiko Uno, Toshiaki Suzuki, Shigemasa Sasaki, Takuro Ushigome, Ken Eto, Tomoyoshi Okamoto, Katsuhiko Yanaga
BACKGROUND: The ideal mesh and mesh fixation technique for laparoscopic Sugarbaker (SB) parastomal hernia repair have not yet been identified. METHODS: Sixteen patients with parastomal hernia who underwent laparoscopic modified SB repair (LSB) between June 2012 and October 2015 were retrospectively analyzed. LSB was performed using a developed standardized 2-point anchoring and zigzag tacking of Parietex™ Parastomal Mesh (PCO-PM) technique. RESULTS: Out of 16 cases, 14 were primary and 2 recurrent hernias; 13 were para-end colostomy and 3 were para-ileal conduit (PIC) hernias...
December 2016: Surgical Endoscopy
Philippe Hauters, Jean-Luc Cardin, Marc Lepere, Alain Valverde, Jean-Pierre Cossa, Sylvain Auvray, Dominique Framery, Constantin Zaranis
BACKGROUND: Parastomal hernia (PSH) is a very frequent complication after creation of a permanent colostomy. The aim of that study is to assess the safety and the long-term efficacy of an intra-peritoneal onlay mesh (IPOM) positioned at the time of primary stoma formation to prevent PSH occurrence. MATERIALS AND METHODS: That multicentre prospective study concerned 29 consecutive patients operated for cancer of the low rectum between 2008 and 2014. There were 14 men and 15 women with a median age of 73 years (range 39-88) and a BMI of 28 (range 21-43)...
December 2016: Surgical Endoscopy
Eric M Pauli, Ryan M Juza, Joshua S Winder
INTRODUCTION: Parastomal hernias are a complex surgical problem affecting a large number of patients. Recurrences continue to occur despite various methods of repair. We present a novel method of open parastomal hernia repair with retromuscular mesh reinforcement in a modified Sugarbaker configuration. METHODS: A full mildline laparotomy is performed and all adhesions are taken down. We then perform an open parastomal hernia repair by utilizing retromuscular dissection, posterior component separation via transversus abdominis release, and lateralization of the bowel utilizing a modified Sugarbaker mesh configuration within the retromuscular space...
August 2016: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Manuel López-Cano, Xavier Serra-Aracil, Laura Mora, José Luis Sánchez-García, Luis Miguel Jiménez-Gómez, Marc Martí, Francesc Vallribera, Domenico Fraccalvieri, Anna Serracant, Esther Kreisler, Sebastiano Biondo, Eloy Espín, Salvador Navarro-Soto, Manuel Armengol-Carrasco
OBJECTIVE: The aim of this study was to assess the reduction in the incidence of parastomal hernia (PH) after placement of prophylactic synthetic mesh using a modified Sugarbaker technique when a permanent end-colostomy is needed. SUMMARY OF BACKGROUND DATA: Prevention of PH formation is crucial given the high prevalence of PH and difficulties in the surgical repair of PH. METHODS: A randomized, prospective, double-blind, and controlled trial...
March 8, 2016: Annals of Surgery
Francis J DeAsis, John G Linn, Brittany Lapin, Woody Denham, JoAnn M Carbray, Michael B Ujiki
BACKGROUND: Parastomal hernia (PH) is a frequent complication of stoma formation, and recurrence after repair is common. A laparoscopic modified Sugarbaker technique (SB) may decrease the recurrence of PH compared with other methods. METHODS: A retrospective review, approved by the institutional review board, of patients who underwent PH repair between 2004 and 2014 was performed. Demographics, factors for ostomy formation, hernia risk factors, intraoperative and postoperative information, and recurrence data were compared among SB and other techniques...
October 2015: Surgery
Francis J DeAsis, Brittany Lapin, Matthew E Gitelis, Michael B Ujiki
AIM: To evaluate the efficacy and safety of the laparoscopic approaches for parastomal hernia repair reported in the literature. METHODS: A systematic review of PubMed and MEDLINE databases was conducted using various combination of the following keywords: stoma repair, laparoscopic, parastomal, and hernia. Case reports, studies with less than 5 patients, and articles not written in English were excluded. Eligible studies were further scrutinized with the 2011 levels of evidence from the Oxford Centre for Evidence-Based Medicine...
July 28, 2015: World Journal of Gastroenterology: WJG
Salomon Levy, Margaret A Plymale, Michael T Miller, Daniel L Davenport, John Scott Roth
BACKGROUND: Parastomal hernia (PH) is a common complication when a stoma is used. The high incidence (35-50%) and patient longevity have created a situation where patients are being referred for consideration of repair with more frequency. Due to the presence of an ostomy and the increased bacterial contamination of the area, the insertion of a prosthetic material is concerning for complications. Laparoscopic repair of parastomal hernias utilizing a modified Sugarbaker technique has been demonstrated to have excellent outcomes...
April 2016: Surgical Endoscopy
Yuji Funayama, Ken-Ichi Takahashi, Fumie Ikezawa, Sho Haneda, Fumito Saijo, Masumi Saito, Hiromi Tokumura
PURPOSES: Although surgery is commonly used to treat parastomal hernia, it is very difficult and has shown poor results. Recently, repair with prosthetic materials has been thought to be a more promising method. METHODS: The Sugarbaker technique with e-PTFE mesh (Dualmesh(®)) performed via open surgery was adopted for seven patients with parastomal hernia. Two of them were recurrent cases. Three of the patients experienced incarceration of the intestine and recovered conservatively before surgery...
January 2016: Surgery Today
Conor H O'Neill, Edward C Borrazzo, Neil H Hyman
Parastomal herniation is a common clinical occurrence. Historically, there has been a high recurrence rate after repair, and conservative management is usually recommended for patients with mild symptoms. When operative intervention is warranted, we opt for a laparoscopic mesh sublay over the fascial defect and lateralization of the stoma limb, or the Sugarbaker technique. In patients who are considered poor risk for laparoscopy/laparotomy requiring repair, we perform a fascial onlay with mesh utilizing an anterior circumstomal approach...
April 2015: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
Suzanne Gillern, Joshua I S Bleier
Parastomal hernia is a prevalent problem and treatment can pose difficulties due to significant rates of recurrence and morbidities of the repair. The current standard of care is to perform parastomal hernia repair with mesh whenever possible. There exist multiple options for mesh reinforcement (biologic and synthetic) as well as surgical techniques, to include type of repair (keyhole and Sugarbaker) and position of mesh placement (onlay, sublay, or intraperitoneal). The sublay and intraperitoneal positions have been shown to be superior with a lower incidence of recurrence...
December 2014: Clinics in Colon and Rectal Surgery
M Skrovina, J Bartoš, E Holášková, M Migrová, K Klos, P Anděl
INTRODUCTION: Parastomal hernia is a common stoma complication. Surgical treatment is necessary in approximately 10 to 20% of cases. Mesh hernia repair gives significantly better results. The authors present their initial experience with laparoscopic repair of parastomal hernia using the modified Sugarbaker technique. MATERIAL AND METHODS: In the period from January 2011 to December 2013, 15 patients with a symptomatic parastomal hernia underwent laparoscopic repair with modified Sugarbaker technique...
October 2014: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
Hanh Tran, Isidro Turingan, Marta Zajkowska, Kim Tran
INTRODUCTION: Laparoscopic parastomal hernia repair with modified Sugarbaker technique has become increasingly the operation of choice because of its low recurrence rates. This study aimed to assess feasibility, safety, and efficiency of performing the same operation with single-incision laparoscopic surgery. MATERIALS AND METHODS: All patients referred from March 2010 to February 2013 were considered for single-port laparoscopic repair with modified Sugarbaker technique...
January 2014: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Nilay R Shah, Randall O Craft, Kristi L Harold
Occurrence of parastomal hernia is considered a near inevitable consequence of stoma formation, making their management a common clinical dilemma. This article reviews the outcomes of different surgical approaches for hernia repair and describes in detail the laparoscopic Sugarbaker technique, which has been shown to have lower recurrence rates than other methods. Also reviewed is the current literature on the impact of prophylactic mesh placement during ostomy formation.
October 2013: Surgical Clinics of North America
Duck Hyoun Jeong, Min Geun Park, George Melich, Hyuk Hur, Byung Soh Min, Seung Hyuk Baik, Nam Kyu Kim
A parastomal hernia is the most common surgical complication following stoma formation. As the field of laparoscopic surgery advances, different laparoscopic approaches to repair of parastomal hernias have been developed. Recently, the Sugarbaker technique has been reported to have lower recurrence rates compared to keyhole techniques. As far as we know, the Sugarbaker technique has not yet been performed in Korea. We herein present a case report of perhaps the first laparoscopic parastomal hernia repair with a modified Sugarbaker technique to be successfully carried out in Korea...
June 2013: Journal of the Korean Surgical Society
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