To investigate the value of laparoscopic Sugarbaker seven step repair technique in recurrent parastomal hernia.

The clinical data and surgical videos of patients who underwent recurrent parastomal hernia repair in the Sixth Affiliated Hospital, Sun Yat-sen University from January 2017 to May 2021 were collected. The completion rate of laparoscopic Sugarbaker seven step repair of recurrent parastomal hernia, the postoperative recurrence, and recurrence type of parastomal hernia, as well as intraoperative and postoperative complications and postoperative recovery time were recorded.

A total of 11 cases of recurrent parasigmoid hernia were included, all of which were recurrent after Sugarbaker operation. Among them, 3 cases were male (27.27%), 8 cases were female (72.73%), the median age was 69 (66-76) years old, the median body mass index was 27.11 (24.80-27.55) kg/m², and the median course of disease was 12 (4-24) months. The long axis of the defect was 65.99 (57.99-88.71) mm, and the short axis of the defect was 60.96 (49.82-87.00) mm. All patients successfully completed the laparoscopic Sugarbaker seven step repair, in which the peritoneal adhesion separation time was 30 (5.50-35.50) minutes, the defect closure time was 32 (25-46) minutes, the total operation time was 201 (175-251) minutes, and the intraoperative bleeding volume was 20 (10-50) ml. The recurrence types of parastomal hernia were summarized by reviewing the operation video. According to whether the mesh was displaced or not, the recurrence types of parastomal hernia could be divided into mesh displacement type (9 cases, 81.82%) and non-mesh displacement type (2 cases, 18.18%). According to the degree of displacement of the lower edge of the mesh, the mesh displacement type could be divided into partial displacement type (6 cases, 66.67%) and complete displacement type (3 cases, 33.33%). The recovery time of exhaust was 2 (1-4) days, and the postoperative hospital stay was 5 (4-7) days. There were no cases of surgical site infection. One patient developed pulmonary infection after operation and improved after treatment. The median follow-up time was 34.7 (25.73-60.40) months, and there was no recurrence.

Laparoscopic Sugarbaker seven step repair technique is safe and feasible for recurrent parastomal hernia.