O'Neill Conor H, Borrazzo Edward C, Hyman Neil H
Division of Gastrointestinal Surgery, Department of Surgery, University of Vermont, Burlington, VT, USA.
J Gastrointest Surg. 2015 Apr;19(4):766-9. doi: 10.1007/s11605-014-2717-8. Epub 2014 Dec 13.
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.
造口旁疝是一种常见的临床病症。从历史上看，修复后复发率较高，对于症状较轻的患者通常建议采用保守治疗。当需要进行手术干预时，我们选择在筋膜缺损上方进行腹腔镜补片腹膜前植入术并将造口肢体移位，或者采用苏格贝克技术。对于被认为进行腹腔镜检查/剖腹手术修复风险较高的患者，我们采用环形造口前入路，用补片进行筋膜外置修补术。
