To explore the application of enhanced recovery after surgery (ERAS) in the perioperative period of Sugarbaker repair of parastomal hernia, and to optimize the management mode and process of parastomal hernia.

From January 2021 to December 2021, 25 patients with parastomal hernia undergoing laparoscopic Sugarbaker repair in the Sixth Affiliated Hospital, Sun Yat-sen University were recruited as the ERAS group using the time grouping method. Other group of 21 patients from Januray 2020 to December 2020 were recruited as the control group. Patients in the control group received traditional perioperative management and follow-up. Patients in the ERAS group implemented ERAS concept guidance. The general condition, postoperative intestinal function recovery time, hospitalization time, pain score, incidence of related complications and other indicators were compared between the two groups, and the effect was evaluated.

There were no significant differences in gender, age, body mass index (BMI) and hernia classification between the two groups. Compared with the control group, ERAS group was associated with earlier mobilization[(2.8±0.70) d vs (3.4±1.16) d, P=0.036], shorter oral feeding[(1.7±0.55) d vs (3.0±1.56) d, P<0.001], shorter hospital stay [(5.8±2.15) d vs (8.5±5.74) d, P=0.033], less exhaust time [(2.2±0.65) d vs (3.0±1.56) d, P=0.018], lower pain score at the time 1-3 d after surgery (χ²=19.510, P<0.001). While the postoperative complication rate of ERAS group was 4.0% (1/25), and the control group was 9.5% (2/21), which had no statistic difference (χ²=0.024, P=0.876).

The application of ERAS concept in perioperative management of parastomal hernia Sugarbaker can speed up the overall recovery process of patients, without increasing the incidence of complications, and it is worth popularizing.