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This is a non-randomised case-controlled prospective study of consecutive patients with parastomal hernia, comparing the laparoscopic Keyhole repair with the modified Sugarbaker repair.
Objective: To compare the laparoscopic Keyhole repair with the modified Sugarbaker repair in a nonrandomised case-controlled prospective study of consecutive patients with parastomal hernia.
Summary Background Data: Two reviews of uncontrolled studies concluded that the Sugarbaker repair is superior to the Keyhole repair. The present study challenges the claim.
Methods: In two time periods 135 patients with a parastomal hernia were repaired with the Keyhole technique (74 patients, using a two-layer mesh of polypropylene and ePTFE with a self-cut slit, 1997- 2009) or the Sugarbaker technique (61 patients, using a coated polypropylene mesh, 2009-2015). The patients in the two groups matched with regard to age, gender, ASA score, colostomy or ileostomy hernia, previous repairs, size of fascial defect and simultaneous repair of a concurrent incisional hernia. Observation time was defined as time to recurrence, stoma re-siting, mesh removal, death, or last non-event visit
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Keyhole rapair | 74 patients who undervent parastomal hernia repair with keyhole technique 1997-2009 |
| |
| Sugarbaker repair | 61 patients who undervent parastomal henia repair a.m. Sugarbaker 2009-2015 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Laparascopic repair of parastomal hernia | Procedure | Laparascopic repair of parastomal hernia |
|
| Measure | Description | Time Frame |
|---|---|---|
| Recurrence | Recurrence of parastomal hernia | 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| Mesh-related morbidity | Late mesh-related morbidity | 3 years |
| Postoperative complications | Early postoperative complication | 30 days after surgery |
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Inclusion Criteria: Patients with a diagnosis of parastomal hernia and indication for surgical treatment -
Exclusion Criteria: None
-
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patients with parastomal hernia referred to Aarhus University Hospital
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| Name | Affiliation | Role |
|---|---|---|
| Paul Wara, DMSc | Aarhus University Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Aarhus University Hospital | Aarhus | 8000 | Denmark |
We have no permission to share individual participant data with 3rd parties
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