Laparoscopic repair of parastomal hernias with a modified Sugarbaker technique.

BACKGROUND: With the increasing experience in laparoscopic ventral and incisonal hernia repair this minimal invasive technique has also been used to repair parastomal hernias. Different types of laparoscopic repair have been described.

METHODS: Laparoscopic repairs can mainly be divided in two groups: "keyhole-techniques" and "Sugarbaker techniques". We reviewed the literature and described our current technique, using a "modified Sugarbaker technique" in detail.

RESULTS: We have used the technique in five patients with good early results, no early recurrences and good functional outcome.

CONCLUSIONS: Laparoscopic repair of parastomal hernias is a safe and feasible technique. In our experience, laparoscopic parastomal hernia repair with "keyhole techniques" had a disappointing high recurrence rate. Therefore we changed to a "modified Sugarbaker technique" with promising early results.