What are the surgical options for parastomal hernia?

At present, a minimally invasive approach is recommended for parastomal hernia surgery, in which the defect of the parastomal hernia is repaired from the abdominal cavity through several small holes, and then a patch is placed to strengthen it, which can be divided into the following ways according to the way the patch is placed: 1. Keyhole approach: the patch is placed around the intestinal canal of the stoma like a scarf, which serves to strengthen the abdominal wall defect; 2. Sugarbaker approach: this approach is This method is the most commonly used surgical method with the lowest recurrence rate and fewer complications; 3, Sandwich method, which is a combination of Keyhole and Sugarbaker methods, requires the use of two patches and has a lower postoperative recurrence rate; however, because the patches used are more However, because more patches are used and more foreign bodies are used, it is generally not a highly recommended surgical method.