Garcia R M, Brody F, Miller J, Ponsky T A
Department of Surgery, The George Washington University Medical Center, 2150 Pennsylvania Ave., NW Suite 6B, Washington, DC 20037, USA.
Hernia. 2005 Dec;9(4):397-9. doi: 10.1007/s10029-005-0340-z. Epub 2005 May 24.
Parastomal hernias can occur in up to 31% of patients following an enterostomy (Cheung in Aust N Z J Surg 65:808-811, 1995). This type of hernia develops through an intentional fascial defect. Commonly, most parastomal hernias involve a reducible segment of omentum, small bowel, or colon. Typically, these hernias are asymptomatic and associated rarely with strangulation or obstruction. Patient preference and clinical scenario may dictate management of these hernias. Non-operative management of parastomal hernias includes abdominal binders and enterostomy belts. Operative management includes a host of options including mesh repair, a new stoma site, or revision. This paper documents the first reported case of a parastomal hernia involving the gallbladder. Optimal technique and site placement of a stoma are also discussed.
肠造口术后，高达31%的患者可能会发生造口旁疝（Cheung，《澳大利亚和新西兰外科杂志》65:808 - 811，1995年）。这类疝通过一个故意造成的筋膜缺损形成。通常，大多数造口旁疝包含一段可回纳的大网膜、小肠或结肠。典型情况下，这些疝没有症状，很少发生绞窄或梗阻。患者的偏好和临床情况可能决定这些疝的治疗方式。造口旁疝的非手术治疗包括使用腹带和造口带。手术治疗有多种选择，包括补片修补、新的造口位置或修复。本文记录了首例报道的涉及胆囊的造口旁疝病例。还讨论了造口的最佳技术和位置选择。
