Huang DY, Pan L, Chen QL, Cai XY, Fang J. Modified laparoscopic Sugarbaker repair of parastomal hernia with a three-point anchoring technique. World J Clin Cases 2018; 6(14): 759-766 [PMID: 30510940 DOI: 10.12998/wjcc.v6.i14.759]
Corresponding Author of This Article
Jie Fang, MD, Attending Doctor, Department of General Medicine, Sir Run Run Shaw Hospital, Zhejiang University, 3 East Qingchun Road, Jianggan District, Hangzhou 310016, Zhejiang Province, China. 3415317@zju.edu.cn
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Nov 26, 2018; 6(14): 759-766 Published online Nov 26, 2018. doi: 10.12998/wjcc.v6.i14.759
Modified laparoscopic Sugarbaker repair of parastomal hernia with a three-point anchoring technique
Di-Yu Huang, Long Pan, Qi-Long Chen, Xiao-Yan Cai, Jie Fang
Di-Yu Huang, Long Pan, Institute of Minimally Invasive Surgery, Zhejiang University, Hangzhou 310016, Zhejiang Province, China
Di-Yu Huang, Long Pan, Clinical Medicine Research Center for Minimally Invasive Diagnosis and Treatment of Abdominal Viscera of Zhejiang Province, Hangzhou 310016, Zhejiang Province, China
Di-Yu Huang, Long Pan, Qi-Long Chen, Xiao-Yan Cai, Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University, Hangzhou 310016, Zhejiang Province, China
Jie Fang, Department of General Medicine, Sir Run Run Shaw Hospital, Zhejiang University, Hangzhou 310016, Zhejiang Province, China
Author contributions: Huang DY and Pan L contributed equally to this work; Huang DY, Pan L, and Fang J designed and performed the research; Chen QL and Cai XY collected and analyzed the data; Huang DY and Pan L wrote the paper; Fang J revised the paper.
Institutional review board statement: This study was reviewed and approved by the ethics committee of Sir Run Run Shaw Hospital.
Informed consent statement: The patients were not required to provide informed consent for this study because the study is retrospective and anonymous clinical data were collected after the patients had agreed to treatment via the laparoscopic technique and signed written surgical informed consent. The surgical informed consent has been uploaded with the manuscript.
Conflict-of-interest statement: All the authors declare no conflicts of interest related to this article.
Data sharing statement: No additional data are available.
Open-Access: This is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Jie Fang, MD, Attending Doctor, Department of General Medicine, Sir Run Run Shaw Hospital, Zhejiang University, 3 East Qingchun Road, Jianggan District, Hangzhou 310016, Zhejiang Province, China. 3415317@zju.edu.cn
Telephone: +86-571-86006617 Fax: +86-571-86044817
Received: August 8, 2018 Peer-review started: August 8, 2018 First decision: August 24, 2018 Revised: September 13, 2018 Accepted: October 11, 2018 Article in press: October 12, 2018 Published online: November 26, 2018 Processing time: 110 Days and 21.3 Hours
Abstract
AIM
To retrospectively evaluate the safety and feasibility of a new modified laparoscopic Sugarbaker repair in patients with parastomal hernias.
METHODS
A retrospective study was performed to analyze eight patients who underwent parastomal hernia repair between June 2016 and January 2018. All of these patients received modified laparoscopic Sugarbaker hernia repair treatment. This modified technique included an innovative three-point anchoring and complete suturing technique to fix the mesh. All procedures were performed by a skilled hernia surgeon. Demographic data and perioperative outcomes were collected to evaluate the safety and efficacy of this modified technique.
RESULTS
Of these eight patients, two had concomitant incisional hernias. All the hernias were repaired by the modified laparoscopic Sugarbaker technique with no conversion to laparotomy. Three patients had in-situ reconstruction of intestinal stoma. The median mesh size was 300 cm2, and the mean operative time was 205.6 min. The mean postoperative hospitalization time was 10.4 d, with a median pain score of 1 (visual analog scale method) at postoperative day 1. Two patients developed postoperative complications. One patient had a pocket of effusion surrounding the biologic mesh, and one patient experienced an infection around the reconstructed stoma. Both patients recovered after conservative management. There was no recurrence during the follow-up period (6-22 mo, average 13 mo).
CONCLUSION
The modified laparoscopic Sugarbaker repair could fix the mesh reliably with mild postoperative pain and a low recurrence rate. The technique is safe and feasible for parastomal hernias.
Core tip: Parastomal hernia is a common complication after enterostomy. We introduce a new modified laparoscopic Sugarbaker repair technique with three-point anchoring to repair the parastomal hernia. The findings confirm the safety and feasibility of the modified method and support the application of this technique to parastomal hernias.
