Abstract：
Parastomal hernias (PSH) are difficult to manage and associated with high rates of postoperative recurrence and complications. Sugarbaker and three-dimensional (3-D) mesh repair are commonly used methods for the surgical treatment of PSH. However, the efficacy and safety of these surgical techniques have not been adequately compared. Patients with PSH who received 3-D mesh or Sugarbaker repair at our center from August 2012 to May 2023 were included. We retrospectively analyzed their demographic data and postoperative outcomes. The primary outcome measure was the recurrence rate at 1-year follow-up. A total of 86 patients were enrolled, involving 53 in the 3-D mesh (62%) group and 33 in the Sugarbaker (38%) group. Most cases (73%) involved were the laparoscopic approach. The recurrence rate at 1-year follow-up was 15% (eight cases) in the 3-D mesh group and 24% (eight cases) in the Sugarbaker group, with no statistical significance (P = 0.29). Additionally, no differences were observed between the 3-D mesh and Sugarbaker groups in the length of hospitalization or in short- and long-term complications. Sugarbaker and 3-D mesh repair have similar clinical efficacy in the surgical treatment of PSH. Further randomized controlled trials are required to confirm these results.Trial registration number.This study was retrospectively registered at clinicaltrials.gov (NCT06077318).
摘要：
造口旁疝（PSH）难以管理，并且术后复发率和并发症率高。Sugarbaker和三维（3-D）网状修复是PSH手术治疗的常用方法。然而,这些手术技术的有效性和安全性尚未得到充分比较.包括2012年8月至2023年5月在我们中心接受3-D网状物或Sugarbaker修复的PSH患者。我们回顾性分析了他们的人口统计学数据和术后结果。主要结果指标是1年随访时的复发率。共纳入86例患者，3-D网格组（62％）53例，Sugarbaker组（38％）33例。大多数病例（73％）是腹腔镜入路。3-D网组1年随访复发率为15％（8例），Sugarbaker组为24％（8例）。无统计学意义(P=0.29)。此外,3-D网片组和Sugarbaker组在住院时间或短期和长期并发症方面无差异.Sugarbaker和3-D网状修复在PSH的手术治疗中具有相似的临床疗效。需要进一步的随机对照试验来证实这些结果。试用注册号。这项研究在clinicaltrials.gov（NCT06077318）进行了回顾性注册。
