Zhang H Y, Wang Z J, Han J G
Department of General Surgery, Beijing Chaoyang Hosptial,Capital Medical University, Beijing 100020, China.
Zhonghua Wei Chang Wai Ke Za Zhi. 2022 Nov 25;25(11):970-975. doi: 10.3760/cma.j.cn441530-20220712-00303.
Parastomal hernia is one of the common complications of stoma surgery with an incidence of more than 30%, which can be diagnosed by physical examination and abdominal CT. Risk factors of parastomal hernia might include stoma approaches including the selection of intestine, relationship between stoma and peritoneum, stoma location, aperture size, operation time and the patient's own conditions. It is essential to prevent parastomal hernia in order to improve patients' quality of life. Prophylactic mesh and perioperative care might prevent parastomal hernias. The mesh type might also influence the incidence of parastomal hernia. To reduce the incidence of recurrence of parastomal hernia, placement of mesh by the laparoscopic Sugarbaker technique was an effective surgical approach. How to prevent and repair parastomal hernia and cure parastomal hernia repair still needs further high-quality research to provide evidence.
造口旁疝是造口手术常见的并发症之一，发生率超过30%，可通过体格检查和腹部CT诊断。造口旁疝的危险因素可能包括造口方式，如肠段的选择、造口与腹膜的关系、造口位置、孔径大小、手术时间以及患者自身状况。预防造口旁疝对于提高患者生活质量至关重要。预防性使用补片和围手术期护理可能预防造口旁疝。补片类型也可能影响造口旁疝的发生率。为降低造口旁疝的复发率，采用腹腔镜Sugarbaker技术放置补片是一种有效的手术方法。如何预防和修复造口旁疝以及治愈造口旁疝修补仍需要进一步的高质量研究来提供证据。
