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With mean follow-up time of 36 months (range 10-66), we experienced no recurrence. Conclusions Having lower recurrence rate, the modified Sugerbaker technique is considered preferable over the keyhole technique, but the bowel going to the stoma needs to be lateralized enough to be covered by relatively large mesh, which is not always accomplished. In such instances, our modified keyhole technique would be a feasible alternative.Italy was the first European country hit by the COVID-19 pandemic and has the highest number of recorded COVID