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09-10-2023 | Seroma

Analysis of recurrence and risk factors in laparoscopic sandwich technique for parastomal hernia repair

Authors: Alberto G. Barranquero, Juan José Espert, María Magdalena Llompart Coll, Yolanda Maestre González, Cristina Gas Ruiz, Jorge Juan Olsina Kissler, Rafael Villalobos Mori

Published in: Surgical Endoscopy | Issue 12/2023

Abstract

Introduction

Parastomal hernias are frequent and highly recurrent. The sandwich technique is a combination of the keyhole and Sugarbaker techniques, using a double intraperitoneal mesh. The objective of this study was to assess the outcomes of the sandwich technique, specifically focusing on recurrence rates.

Materials and methods

Observational retrospective study conducted in two tertiary referral centers in Catalonia, Spain. All consecutive patients who underwent parastomal hernia repair using the sandwich technique between 1st January 2016 and 31st December 2021 were included.

Results

A total of 38 patients underwent the laparoscopic sandwich technique for parastomal hernia repair. The overall recurrence rate was 7.9% (3/38), with a median follow-up of 39 months (IQR: 12.3–56.5). According to the EHS classification for parastomal hernia, there were 47.4% (18/38) type I defects, 10.5% (4/38) type II defects, 28.9% (11/38) type III defects, and 13.2% (5/38) type IV defects. The used mesh was predominantly TiMesh® (76.3%; 29/38), followed by DynaMesh® IPOM (23.7%; 9/38). Patients with recurrence exhibited higher rates of seroma, hematoma, surgical site infection, and one case of early recurrence attributed to mesh retraction. Consequently, postoperative complications emerged as the primary risk factor for hernia recurrence.

Conclusion

The sandwich technique demonstrated recurrence rates consistent with those reported in the existing literature.

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Title: Analysis of recurrence and risk factors in laparoscopic sandwich technique for parastomal hernia repair
Authors: Alberto G. Barranquero
Juan José Espert
María Magdalena Llompart Coll
Yolanda Maestre González
Cristina Gas Ruiz
Jorge Juan Olsina Kissler
Rafael Villalobos Mori
Publication date: 09-10-2023
Publisher: Springer US
Keywords: Seroma
Enterostomy
Enterostomy
Parastomale Hernie
Incisional Hernia
Published in: Surgical Endoscopy / Issue 12/2023
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-023-10475-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Analysis of recurrence and risk factors in laparoscopic sandwich technique for parastomal hernia repair

Abstract

Introduction

Materials and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusion

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