Hybrid 3D and Sandwich Techniques Show Superior Outcomes in Hernia Repair

A network meta-analysis of 20 studies evaluated various mesh placement techniques for parastomal hernia repair. Results indicated that the hybrid 3D technique significantly reduced hernia recurrence and surgical site infections compared to keyhole and Sugarbaker methods. Among the assessed methods, the Sandwich technique ranked highest in terms of the lowest recurrence rates. Both hybrid 3D and Sandwich demonstrated lower cumulative complications than alternatives, though no significant differences existed for operative time or hospital stay length.