To investigate the therapeutic effect of different surgical methods for parastomal hernia.

Clinical data from 102 patients treated with Keyhole or Sugarbaker surgery for parastomal hernia repair at Shandong Provincial Hospital over the last ten years (2012-2022) were analyzed retrospectively, with 40 patients treated with Keyhole surgery and 62 patients treated with Sugarbaker surgery. According to whether it was laparoscopically assisted or not, the patients were divided into an open surgery group (21 cases) and a laparoscopic surgery group (81 cases). The operation time, hospital stay, intraoperative blood loss, postoperative gastrointestinal function recovery time, abdominal distension, pain, incision infection, intestinal leakage, intestinal obstruction, intestinal necrosis and other complications in different operation groups were observed, and postoperative recurrence was followed up.

The operation time in the Keyhole surgery group was longer than that in the Sugarbaker surgery group, and that in open surgery group was longer than that in the laparoscopic surgery group. Meanwhile, the incidence of abdominal distension in the open surgery group was significantly higher than that in the laparoscopic surgery group. Although there were differences in other indicators, there was no statistical significance.

The Keyhole or Sugarbaker procedures were similar in terms of severe complications and recurrence regardless of whether they were performed with open or laparoscopic surgery, but the open surgery took longer, the postoperative abdominal distension was more severe, and the Sugarbaker procedure took less time than the Keyhole group. Although the recurrence rate of the Keyhole group was high, it did not reach statistical significance. The open procedure took longer, and the postoperative abdominal distension was heavier.