Luan Li, Liu Qiaonan, Cui Changjin, Cheng Yugang, Zhang Guangyong, Li Bo
Department of General Surgery, The First Affiliated Hospital of Shandong First Medical University (Shandong Provincial Qianfoshan Hospital), Jinan, China.
Postgraduate Department, Shandong First Medical University, Jinan, China.
Front Surg. 2022 Aug 2;9:928743. doi: 10.3389/fsurg.2022.928743. eCollection 2022.
This study aimed to investigate the surgical treatment strategy of recurrent parastomal hernia (PH) and show its safety, feasibility, and outcomes at a mid-term follow-up.
A total of 17 cases of recurrent PH treated at our hospital between January 2016 and October 2021 were included in this retrospective analysis. Patient characteristics were recorded, and the classification of PH, operative time, intraoperative blood loss, hernia repair techniques, follow-up times, complications, as well as recurrence were compared and analyzed.
Altogether, 17 patients with recurrent PH underwent successful hernia repair surgical treatment at The First Affiliated Hospital of Shandong First Medical University and Shandong University Qilu Hospital. No recurrence or severe complications were noted during follow-ups (mean 32.8 ± 3.77 [range 3-68] months).
For recurrent PH, selecting a suitable repair approach based on intraperitoneal conditions such as infection, abdominal adhesions, or the length of the bowel loop, can help in achieving better therapeutic results. The lap-redo + Sugarbaker technique is worth recommending when the appropriate conditions are met.
本研究旨在探讨复发性造口旁疝（PH）的手术治疗策略，并展示其在中期随访中的安全性、可行性和疗效。
本回顾性分析纳入了2016年1月至2021年10月期间在我院接受治疗的17例复发性PH患者。记录患者特征，并对PH的分类、手术时间、术中出血量、疝修补技术、随访时间、并发症以及复发情况进行比较和分析。
共有17例复发性PH患者在山东第一医科大学第一附属医院和山东大学齐鲁医院接受了成功的疝修补手术治疗。随访期间（平均32.8±3.77[范围3 - 68]个月）未发现复发或严重并发症。
对于复发性PH，根据腹腔内情况如感染、腹部粘连或肠袢长度选择合适的修补方法，有助于取得更好的治疗效果。在满足适当条件时，腹腔镜再次手术+Sugarbaker技术值得推荐。
