Grade B	Laparoscopic repair of parastomal hernia using the modified Sugarbaker technique should be recommended when a pure ePTFE mesh is used
	Although the keyhole technique has a lower recurrence rate compared to the Sugarbaker technique, this could be related to the type of mesh because series not using a pure ePTFE mesh show similar recurrence rates as the Sugarbaker technique with this type of mesh
Grade C	None of the technique described in the literature—Sugarbaker, keyhole, or sandwich—is superior
	Although there is only one series with the sandwich technique (using two meshes), this technique can be considered a safe alternative to the keyhole or Sugarbaker techniques
	The same laparoscopic technique can be performed for a hernia occurring with a colostomy, ileostomy, or urostomy, or due to an ileal conduit