title: [Laparoscopic parastomal hernia repair with modified Sugarbaker technique in patients after abdominoperineal resection of the rectum - initial experience].
abstract: BACKGROUND
  Parastomal hernia is a common stoma complication. Surgical treatment is necessary in approximately 10 to 20% of cases. Mesh hernia repair gives significantly better results. The authors present their initial experience with laparoscopic repair of parastomal hernia using the modified Sugarbaker technique.
  
  
  METHODS
  In the period from January 2011 to December 2013, 15 patients with a symptomatic parastomal hernia underwent laparoscopic repair with modified Sugarbaker technique. All patients had a parastomal hernia at the site of terminal colostomy after abdominoperineal resection. 14 patients underwent primary hernia repair, 1 patient was operated on for recurrence of parastomal hernia after open hernia repair. Parietex Parastomal mesh was used for hernia repair in all cases.
  
  
  RESULTS
  Laparoscopic repair was performed successfully in all patients. The mean operating time was 45 minutes (range: 2080 minutes). The mean postoperative hospital stay was 3 days (range: 26 days). No serious postoperative complication was recorded. In the postoperative period, a recurrent symptomatic hernia was found in 1 of 15 patients (6.7%) with reintervention 17 months after primary surgery.
  
  
  CONCLUSIONS
  Laparoscopic hernia repair of parastomal hernia with modified Sugarbaker technique seems to be a safe method with a very low risk of postoperative complications, including hernia recurrence. .
authors.forename: M
authors.initials: M
authors.lastname: Skrovina
authors.forename: J
authors.initials: J
authors.lastname: Bartoš
authors.forename: E
authors.initials: E
authors.lastname: Holášková
authors.forename: M
authors.initials: M
authors.lastname: Migrová
authors.forename: K
authors.initials: K
authors.lastname: Klos
authors.forename: P
authors.initials: P
authors.lastname: Anděl
mesh_terms: D000368:Aged; D003125:Colostomy / Q000009:adverse effects*; D005260:Female; D006555:Hernia, Ventral / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D012189:Retrospective Studies; D013526:Surgical Mesh