Tadeo-Ruiz Gloria, Picazo-Yeste Joaquín-Salvelio, Moreno-Sanz Carlos, Herrero-Bogajo María-Luz
Servicio de Cirugía General y del Aparato Digestivo, Hospital General La Mancha Centro, Alcázar de San Juan, Ciudad Real, Spain.
Cir Esp. 2010 Jun;87(6):339-49. doi: 10.1016/j.ciresp.2009.11.018. Epub 2010 Jan 13.
Parastomal hernia (PH) is the most common delayed complication in stoma surgery. Only a third of these are operated on, something which is partly explained by the high recurrence rate observed after repair. The use of prosthetic materials has improved the results, although they continue to be below the ideal. For this reason, it has been proposed that the best solution may be in preventing the PH. Several studies show promising results, with very marked reductions in the percentage of IH, on placing a prophylactic peristomal prosthesis. In this article we present a review of the risk factors associated with PH, a classification of the existing diversity of repair techniques, and an algorithm is proposed for the management of PH, including its prevention.
造口旁疝（PH）是造口手术中最常见的延迟性并发症。其中只有三分之一接受了手术治疗，部分原因是修复后观察到的高复发率。使用人工合成材料改善了治疗效果，尽管仍未达到理想状态。因此，有人提出最佳解决方案可能在于预防造口旁疝。多项研究显示了有前景的结果，在放置预防性造口周围假体后，造口旁疝的发生率显著降低。在本文中，我们综述了与造口旁疝相关的危险因素，对现有的各种修复技术进行了分类，并提出了一种造口旁疝管理算法，包括预防措施。
