Robotic sugarbaker parastomal hernia repair: updated series and outcomes
- 01.12.2025
- Original Article
Erschienen in:
- Verfasst von
- Monica E. Polcz
- Alexis Holland
- Alynna Wiley
- Sullivan A. Ayuso
- William Lorenz
- Gregory T. Scarola
- Dau Ku
- Vedra A. Augenstein
- Erschienen in
- Hernia | Ausgabe 1/2025
Abstract
Purpose
To present updated outcomes after previously describing a novel technique for the robotic repair of parastomal hernias.
Methods
Patients who underwent parastomal hernia repair with a robotic Sugarbaker technique at a tertiary hernia center were identified from an institutional database. The approach involves mesh placement in the intraperitoneal or preperitoneal position after closure of the fascial defect. Baseline demographics, intra-operative variables, and post-operative outcomes were evaluated.
Results
Twenty-six patients were identified who underwent robotic Sugarbaker parastomal hernia repair with mesh. Median age was 61.5 (IQR 58.0–67.0) years, 17 (65%) were male, and median BMI was 29.5 (IQR 25.7–32.6) kg/m2. Stoma types included 11 (42%) colostomies, 8 (31%) ileostomies, and 7 (27%) urostomies. All but one case was elective (96%) and 2 (8%) were recurrent. Median operative time was 182.5 (IQR 149–209) min. Biologic mesh was used in 5 (19%) and synthetic mesh in 21 (81%) cases. Concurrent hernia repair was performed in 11 (42%) cases. Two (8%) patients were converted from a robotic to open procedure. Median length of stay was 4 (IQR 3–6) days. A total of 3 (11.5%) patients underwent reoperation related to obstruction at the stoma site. There were no additional 30-day readmissions, seromas requiring intervention, or wound complications. There were 4 (15%) total recurrences during a median follow up of 29.1 (IQR 10.0–55.8) months.
Conclusions
Robotic Sugarbaker parastomal hernia repair is an effective technique for minimally invasive repair of parastomal hernias. Care should be taken to prevent obstruction of the stoma related to fascial and peritoneal flap reconstruction or mesh placement, which is a significant risk of this technique.
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- Titel
- Robotic sugarbaker parastomal hernia repair: updated series and outcomes
- Verfasst von
-
Monica E. Polcz
Alexis Holland
Alynna Wiley
Sullivan A. Ayuso
William Lorenz
Gregory T. Scarola
Dau Ku
Vedra A. Augenstein
- Publikationsdatum
- 01.12.2025
- Verlag
- Springer Paris
- Erschienen in
-
Hernia / Ausgabe 1/2025
Print ISSN: 1265-4906
Elektronische ISSN: 1248-9204 - DOI
- https://doi.org/10.1007/s10029-024-03227-1
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