Laparoscopic modified Sugarbaker technique results in superior recurrence rate

Autor: Amy K. Yetasook, Melissa Ruiz, John G. Linn, Michael B. Ujiki, JoAnn Carbray, Woody Denham, Asma Asif
Rok vydání: 2012
Předmět:
Zdroj: Surgical Endoscopy. 26:3430-3434
ISSN: 1432-2218
0930-2794
DOI: 10.1007/s00464-012-2358-5
Popis: Parastomal hernia (PH) is a frequent complication of stoma formation, occurring in 35–50 % of patients. Recurrence after repair is common, ranging from 24 to 54 % of cases. We hypothesized that repair using a laparoscopic modified Sugarbaker technique (SB) would result in a superior recurrence rate when compared with other repairs. An Institutional Review Board-approved retrospective review of patients who underwent PH repair between 2004 and 2011 was performed. We collected demographics, factors related to ostomy formation, risk factors for hernia, intraoperative and postoperative information, as well as the absence or presence of PH on their last physical examination or imaging study. Forty-nine PH repairs were performed: 33 (67 %) para-ileostomy and 16 (33 %) para-colostomy. Repairs included 14 laparoscopic modified SB, 19 laparoscopic keyhole, 11 ostomy re-sitings, and 5 open primary repairs. There was no statistically significant difference between groups when comparing age, BMI, smoking status, steroid use, ostomy type, location, primary diagnoses, or complication rate. Recurrence rates were 0 % for SB, 58 % for keyhole, 64 % for re-siting, and 20 % for open repair. When SB was compared with all groups, the incidence of recurrence was significantly lower (p
Databáze: OpenAIRE
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