title: Parastomal hernia repair with the Sugarbaker technique using e-PTFE mesh.
abstract: OBJECTIVE
  Although surgery is commonly used to treat parastomal hernia, it is very difficult and has shown poor results. Recently, repair with prosthetic materials has been thought to be a more promising method.
  
  
  METHODS
  The Sugarbaker technique with e-PTFE mesh (Dualmesh®) performed via open surgery was adopted for seven patients with parastomal hernia. Two of them were recurrent cases. Three of the patients experienced incarceration of the intestine and recovered conservatively before surgery. The median age of the patients at the parastomal hernia repair was 77.6 years old (range 37.7-84.7).
  
  
  RESULTS
  The median operative time was 211 min (range 147-256). The median hernia size was 28 cm2(range 7.5-60 cm2). The median amount of blood loss during the operation was 158 g (range 0-370 g). Surgical site infection was not observed. The postoperative median hospital stay was 17 days (range 13-40) and the median follow-up was 2.4 years (range 1.0-3.7). During the follow-up period, we did not observe recurrence or readmission.
  
  
  CONCLUSIONS
  The surgical results were satisfactory with minimal morbidity and no recurrences. The Sugarbaker technique for parastomal repair using e-PTFE mesh may be suitable as a standard method for treating parastomal hernia.
authors.affiliation: Department of Surgery, Sendai Red Cross Hospital, Sendai, Japan. yfunayama@sendai.jrc.or.jp.
authors.forename: Yuji
authors.initials: Y
authors.lastname: Funayama
authors.affiliation: Department of Colorectal Surgery, Tohoku Rosai Hospital, Sendai, Japan.
authors.forename: Ken-Ichi
authors.initials: KI
authors.lastname: Takahashi
authors.affiliation: Department of Colorectal Surgery, Tohoku Rosai Hospital, Sendai, Japan.
authors.forename: Fumie
authors.initials: F
authors.lastname: Ikezawa
authors.affiliation: Department of Colorectal Surgery, Tohoku Rosai Hospital, Sendai, Japan.
authors.forename: Sho
authors.initials: S
authors.lastname: Haneda
authors.affiliation: Department of Surgery, Tohoku Rosai Hospital, Sendai, Japan.
authors.forename: Fumito
authors.initials: F
authors.lastname: Saijo
authors.affiliation: Department of Nursing, Tohoku Rosai Hospital, Sendai, Japan.
authors.forename: Masumi
authors.initials: M
authors.lastname: Saito
authors.affiliation: Department of Surgery, Tohoku Rosai Hospital, Sendai, Japan.
authors.forename: Hiromi
authors.initials: H
authors.lastname: Tokumura
keywords: Hernia repair; Parastomal hernia; Sugarbaker technique; Synthetic material; e-PTFE