Laparoscopic and Robotic Repair of Parastomal Hernias
The laparoscopic application to the repair of these hernias has proven to be an improvement to the open repair. There have been many approaches to these repairs, but the use of mesh is preferred in all cases. The use of a keyhole to allow exit of the intestine through the mesh has proven to be associated with an unacceptably high recurrence rate. The Sugarbaker and modified Sugarbaker repairs have been shown to be the most successful methods. These operations can be done via the laparoscopic or robotically assisted laparoscopic techniques. This chapter will discuss the methodology of these similar repairs as well as the results that have been reported in the literature. The infancy of the robotic repair relies on the experience of the author as there are no current data to report.
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