“The most commonly reported approaches for stomal hernia repair include stoma relocation, fascial repair using sutures, and fascial repair using prosthetic mesh with either open or minimally invasive surgery. At present, suture repair for elective surgery is no longer recommended due to high recurrence rates, except in specific circumstances such as
strangulation and contamination of the surgical field, where the use of mesh application should be avoided. In the last decade, many minimally invasive procedures have been
reported in the literature with varying results. In a previous systematic review in 2015, DeAsis et al. investigated the role of laparoscopic surgery in parastomal hernia repair and
concluded that the modified Sugarbaker technique demonstrated superior performance compared to other techniques. Likewise, the sandwich technique showed positive outcomes with low recurrence rates. In another study published in 2015, Szczepkowski et al. described an alternative approach called hybrid with three-dimensional (3D) meshes with promising results.

“The primary finding of the current systematic review is that the novel approaches, sandwich, and hybrid with 3D meshes, demonstrate superior outcomes in terms of recurrences when compared to the keyhole and Sugarbaker techniques (3.5% and 4.6% versus 24% and 9%, respectively). Notably, the keyhole technique is associated with the highest recurrence rates (24.1%) and postoperative complications (31.3%), consistent with the results of the previous systematic review by DeAsis et al.. The sandwich technique demonstrates the lowest recurrence rates (3.5%), but it is accompanied by a high rate of postoperative complications (13.2%), followed by the hybrid technique with a recurrence rate of 4.6% and the lowest postoperative complication rates (6.3%). The keyhole technique exhibits the highest recurrence rates but has among the shortest operation times, while the Sugarbaker technique presents an acceptable recurrence (9%) and a moderately increased complication rates (27.6%).”

Kritharides, Nicos et al. “Laparoscopic parastomal hernia repair: keyhole, Sugarbaker, sandwich, or hybrid technique with 3D mesh? An updated systematic review and meta-analysis.” Langenbeck’s archives of surgery vol. 408,1 448. 29 Nov. 2023 Free Full Text