Li M L, Fu X J, Yao Q Y
Department of General Surgery,Huashan Hospital Affiliated to Fudan University;Hernia Center of Fudan University, Shanghai 200040.
Zhonghua Wei Chang Wai Ke Za Zhi. 2022 Nov 25;25(11):1033-1038. doi: 10.3760/cma.j.cn441530-20220421-00170.
Parastomal hernia is a common complication after abdominal ostomy. Although the European Hernia Society guidelines recommend surgical treatment for parastomal hernia, there is still no "gold standard" procedure. The exploration and practice of parastomal hernia repair surgery has been carried out for many years, from the earlier hernia ring suture and stoma relocation repair, to the reinforcement of meshes (such as the Keyhole repair technique and the Sugarbaker repair technique) and the application of laparoscopic technique, and then to the combination of various methods. The intervention of single-port laparoscopic technique and robot-assisted surgery, the prevention of parastomal hernia, the specialization of treatment, multidisciplinary cooperation, and the improvement of diagnostic methods will all provide more optimal solutions for stoma patients. This article will review and summarize the development process and evaluation of parastomal hernia surgical techniques.
造口旁疝是腹部造口术后的常见并发症。尽管欧洲疝学会指南推荐对造口旁疝进行手术治疗，但仍没有“金标准”术式。造口旁疝修补手术的探索与实践已开展多年，从早期的疝环缝合及造口移位修补，到补片加固（如匙孔修补技术和Sugarbaker修补技术）及腹腔镜技术的应用，再到多种方法的联合。单孔腹腔镜技术和机器人辅助手术的介入、造口旁疝的预防、治疗的专业化、多学科合作以及诊断方法的改进，都将为造口患者提供更优化的解决方案。本文将对造口旁疝手术技术的发展历程及评估进行综述和总结。
