Parastomal Hernia Repair

被引:11
|
作者
O'Neill, Conor H. [1 ]
Borrazzo, Edward C. [1 ]
Hyman, Neil H. [2 ]
机构
[1] Univ Vermont, Dept Surg, Div Gastrointestinal Surg, Burlington, VT 05405 USA
[2] Univ Chicago, Dept Surg, 5841 S Maryland Ave,MC 5095, Chicago, IL 60637 USA
关键词
Parastomal hernia repair; Sugarbaker technique; Parastomal fascial onlay; Laparoscopic hernia repair; LIFE-TABLE ANALYSIS; SURGERY; MESH; REINFORCEMENT; RELOCATION; COLOSTOMY;
D O I
10.1007/s11605-014-2717-8
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Parastomal herniation is a common clinical occurrence. Historically, there has been a high recurrence rate after repair, and conservative management is usually recommended for patients with mild symptoms. When operative intervention is warranted, we opt for a laparoscopic mesh sublay over the fascial defect and lateralization of the stoma limb, or the Sugarbaker technique. In patients who are considered poor risk for laparoscopy/laparotomy requiring repair, we perform a fascial onlay with mesh utilizing an anterior circumstomal approach.
引用
收藏
页码:766 / 769
页数:4
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