Introduction: In 1980, Dr. Paul Sugarbaker first reported his technique for parastomal hernia repair.

Methods: The Sugarbaker repair employs a prosthetic graft, which is placed intraperitoneally, posterior to parastomal hernia defect. The bowel is allowed to course out laterally, anterior to the graft. With adequate overlap of the defect edges, the Sugarbaker repair can exploit the hernia-forming intraabdominal forces, by using them to hold the graft in position behind the defect.

Results: This video demonstrates the open Sugarbaker repair of a parastomal hernia using a cadaveric acellular dermal graft.

Conclusion: Cadaveric acellular dermal graft placed in the intraperitoneal onlay position is a feasible technique for both prophylaxis against parastomal hernia formation and the treatment of symptomatic parastomal hernias.