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

Abstract

In parastomal hernia (PH) repair, laparoscopic Sugarbaker technique (LS) is considered the best practice; however, meshes specific for LS repairs ceased to be available. The aim of the study was to evaluate feasibility of using a physician-modified mesh (tailored mesh: TM) in LS. 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. 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. In LS, TM seems to be a feasible mesh comparable to SM within short- and mid-term follow-up.