Sugarbaker P H
Cancer Institute, Washington Hospital Center, District of Columbia 20010.
Surg Gynecol Obstet. 1989 Jul;169(1):75-7.
Enterostomies are usually well tolerated if they function optimally. A common problem is a hernia at the enterostomy site. Separation of the lateral aspect of the enterostomy tunnel from the seromuscular layer of the intestine permits a space to occur. With time, intra-abdominal pressure gradually enlarges this space to bring about the hernia. To prevent a hernia from developing after an enterostomy, a new principle of enterostomy construction is demonstrated. After proper positioning of the intestine within the tunnel, it is returned to the abdomen to allow accurate placement of sutures. These sutures bring together the lateral aspect of the tunnel and the remote side of the intestine. If no space is allowed, no hernia will occur.
如果造口功能最佳，通常耐受性良好。一个常见问题是造口部位出现疝。造口隧道外侧与肠管浆肌层分离会形成一个间隙。随着时间推移，腹内压会逐渐扩大这个间隙从而导致疝的形成。为防止造口术后发生疝，展示了一种新的造口构建原则。在肠管在隧道内正确定位后，将其回纳至腹腔以准确放置缝线。这些缝线使隧道外侧与肠管远侧靠拢。如果不留间隙，就不会发生疝。
