Abstract:

Objective

To systematic expolre the feasibility and details of using Ad-Hoc mesh in laparoscopic Sugarbaker repair of parastomal hernia.

Methods

A retrospective analysis was conducted on the clinical data of 10 patients with parastomal hernias who underwent Sugarbaker repair using Ad-Hoc self-tailored mesh in Zhongda Hospital Lishui Branch, Zhongda Hospital Southeast University, and Nanjing Jiangbei Hospital from December 2021 to December 2023.Surgical details were recorded, and relevant experiences were summarized.

Results

All the ten operations were completed successfully.The mean mesh size used was (222.16±30.0) cm².The median size of hernia ring was (6.6±1.2) cm×(3.3±0.9) cm.The operative time was (125.5±20.0) min.The recovery time of intestinal function was (2.8±1.1) d.The postoperative hospital stay was (9.3±1.4) d.The median time of follow-up was 24.5 (10-34) months, and there was no intestinal obstruction, no recurrence, no stoma prolapse, and no postoperative chronic pain.

Conclusion

Ad-Hoc mesh in laparoscopic Sugarbaker repair of parastomal hernia is safe and effective,but further studies with large sample sizes and longer follow-up periods are needed to verify.

Key words: Parastomal hernia, Sugarbaker repair, Composite mesh, Ad-Hoc mesh