Comparison of Laparoscopic Parastomal Hernia Repair Techniques: Keyhole, Sugarbaker, Sandwich, and Hybrid

Parastomal hernia, a common complication after stoma formation, has been treated using various minimally invasive techniques. However, the optimal technique remains unclear. In this updated systematic review and meta-analysis, researchers analyzed 33 studies involving 1289 patients to compare the outcomes of four commonly used techniques. The keyhole technique showed the highest incidence of complications and recurrences, followed by the Sugarbaker technique. The 3D mesh technique had the shortest operative time, while the keyhole technique resulted in the shortest hospital stay. Although no definitive conclusion was reached, newer minimally invasive techniques showed promising results for parastomal hernia repair.