Stephanie Novak, MS, Zachary Callahan, MD, Stephen Haggerty, MD, FACS. NorthShore University Health System
We present the case of a patient who underwent a laparoscopic modified Sugarbaker technique for an incarcerated recurrent parastomal hernia. The patient is a 76-year-old male with multiple medical problems. He had a prior laparoscopic parastomal hernia repair in 2011, which was done using the Sugarbaker technique. Lysis of adhesions was performed and the recurrent parastomal hernia with incarcerated small intestine was identified. We proceeded with another Sugarbaker repair of the recurrent hernia since this technique has been shown to have the lowest recurrence rate in several studies. Tacks and transfacial sutures were used to ensure excellent fixation of the mesh. Based on the literature and on our own clinical practice, we conclude repeat laparoscopic Surgarbaker mesh repair is feasible and effective for recurrent parastomal hernia.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95618
Program Number: V350
Presentation Session: Video Loop Day 3
Presentation Type: VideoLoop
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