Hayles Kevin, Almoudaris Alex
Clinical Nurse Specialist, Stoma Care, Queen's Hospital, Romford, Essex.
Surgical Registrar (Colorectal) Queen's Hospital, Romford, Essex.
Br J Nurs. 2017 Mar 9;26(5):S4-S10. doi: 10.12968/bjon.2017.26.5.S4.
The incidence of parastomal hernia is reported at between 10% and 50%. The development of a hernia after stoma surgery can lead to both physical and psychological problems and may reduce the individual's quality of life. Many garments and appliances are aimed at managing a stoma and a peri-stomal hernia. From a surgical perspective, to date there has been no real success in achieving a reduction in parastomal hernia incidence. The cost of managing a parastomal hernia is reported as being in excess of £1 million a year in England for non-surgical management alone. Surgical repair of parastomal hernia carries not only a financial burden but an increased risk of mortality and morbidity.
据报道,造口旁疝的发病率在10%至50%之间。造口手术后疝的形成会导致身体和心理问题,并可能降低个人生活质量。许多服装和器具旨在管理造口和造口周围疝。从手术角度来看,迄今为止,在降低造口旁疝发病率方面尚未取得真正的成功。据报道,仅在英格兰,每年非手术治疗造口旁疝的费用就超过100万英镑。造口旁疝的手术修复不仅带来经济负担,还会增加死亡率和发病率。