Sjödahl R, Anderberg B, Bolin T
Department of Surgery, University Hospital, Linköping, Sweden.
Br J Surg. 1988 Apr;75(4):339-41. doi: 10.1002/bjs.1800750414.
Parastomal hernia is a common late complication of enterostomy, especially colostomy, and sometimes requires surgical treatment. A possible contributory factor, location of the stoma in relation to the rectus abdominis muscle, was studied by examination of 130 patients with permanent intestinal stoma. The bowel had been brought out through the rectus abdominis muscle in 107 patients and lateral to it in 23 patients. The respective prevalence of parastomal hernia in these groups was 2.8 per cent and 21.6 per cent. The highly significant difference indicates that enterostomy should be constructed through the rectus abdominis muscle, not lateral to it.
造口旁疝是肠造口术，尤其是结肠造口术常见的晚期并发症，有时需要手术治疗。通过对130例永久性肠造口患者进行检查，研究了一个可能的促成因素，即造口相对于腹直肌的位置。107例患者的肠管经腹直肌引出，23例患者的肠管经腹直肌外侧引出。这些组中造口旁疝的患病率分别为2.8%和21.6%。这一高度显著的差异表明，肠造口术应经腹直肌进行，而不是在腹直肌外侧进行。
