Department of Surgery, University of South Alabama, Mobile, Alabama, USA.
Dis Colon Rectum. 2010 Mar;53(3):279-83. doi: 10.1007/DCR.0b013e3181cec022.
This study was undertaken to determine the safety and short-term outcomes using bioprosthetics for the management of parastomal hernias.
A retrospective review of prospectively collected data for all of the patients who underwent repair of a parastomal hernia was conducted.
Between April 2004 and September 2007, 20 consecutive patients had 22 parastomal hernias repaired through a midline incision using a bioprosthetic with the stoma entering the abdomen lateral to the graft. A colostomy was present in 17 patients; an ileostomy was present in 3 patients. All of the patients had parastomal hernia-related complications. Postoperatively there were no infections of the midline wound or the prosthetic, and none of the grafts were removed. There were 4 seromas (40%) that required aspiration in the 10 procedures performed before the routine placement of a drain. No incisional hernias have developed in the midline wound. There have been 2 (9%) recurrent parastomal hernias on physical examination at a median follow-up of 18 months (range, 12-54).
These data suggest that bioprosthetics are safe and are effective in the short term for the repair of parastomal hernias.
本研究旨在确定使用生物假体治疗造口旁疝的安全性和短期结果。
对所有接受造口旁疝修补术的患者前瞻性收集的数据进行回顾性分析。
2004 年 4 月至 2007 年 9 月，连续 20 例患者通过中线切口使用生物假体修复了 22 个造口旁疝，造口位于移植物旁侧进入腹部。17 例患者有结肠造口术；3 例患者有回肠造口术。所有患者均有造口旁疝相关并发症。术后无中线切口或假体感染，也未切除任何移植物。在常规放置引流管之前进行的 10 次手术中，有 4 例（40%）出现 4 例（40%）血清肿，需要抽吸。中线切口无切口疝形成。在中位随访 18 个月（范围 12-54 个月）时，有 2 例（9%）患者在体格检查时出现复发性造口旁疝。
这些数据表明，生物假体在治疗造口旁疝方面是安全且有效的。
