Details

Autor(en) / Beteiligte

• Suwa, Katsuhito
• Ushigome, Takuro
• Enomoto, Hiroya
• Tsukazaki, Yuhei
• Takeuchi, Nana
• Okamoto, Tomoyoshi
• Eto, Ken

Titel

Feasibility of using a tailored mesh in laparoscopic Sugarbaker parastomal hernia repair

Ist Teil von

• Asian journal of endoscopic surgery, 2022-04, Vol.15 (2), p.344-351

Ort / Verlag

Kyoto, Japan: John Wiley & Sons Australia, Ltd

Erscheinungsjahr

2022

Quelle

Wiley Online Library E-Journals

Beschreibungen/Notizen

• 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.