Background: Parastomal hernia is common and bothersome for patients. Parastomal hernia repair has become increasingly common, and although several different approaches exist, they all carry high risk of postoperative complications. Mesh fracture is a known, but rare complication in other types of hernia repair. We describe seven cases of mesh fracture as reason for recurrence in patients undergoing laparoscopic Sugarbaker parastomal hernia repair. Methods: This retrospective case series present seven patients with intraoperatively verified mesh fracture. All patients underwent primary laparoscopic Sugarbaker parastomal hernia repair between October 2014 and May 2016, using a monofilamentous composite polyester mesh (ParietexTM Composite Parastomal Mesh). All patients were diagnosed with hernia recurrence, and mesh fracture was confirmed during the surgical procedure for recurrence. Data on demography, perioperative findings and length of stay were presented. Results: During the inclusion period, a total of 41 patients underwent laparoscopic parastomal hernia repair in our department. Seven patients (17%) subsequently developed hernia recurrence requiring surgical intervention. Diagnosis of hernia recurrence occurred median 29 months (range, 20-36 months) after primary hernia surgery. Recurrence hernia surgery occurred median 32 months (range, 20-67 months) after primary hernia surgery. Three of these patients were emergencies due to hernia-related acute bowel obstruction. In all patients re-herniation was due to a fracture in the central part of the mesh. None of the patients with mesh fracture experienced postoperative complications at either primary or recurrence surgeries. Length of stay was median 7 days (3-8 days) after primary surgery and 4 days (3-9 days) after recurrence surgery. Conclusions: We describe seven cases of mesh fracture as reason for recurrence in patients undergoing primary laparoscopic parastomal Sugarbaker hernia repair. Our findings underline the importance of post-marketing surveillance of medical devices, and consideration should be given to centralization of these complicated procedures.