Department of Surgery, The University of Tennessee Health Science Center, 910 Madison Avenue Room 329, Memphis, TN 38103, USA.
Department of Surgery, The University of Tennessee Health Science Center, 910 Madison Avenue Room 329, Memphis, TN 38103, USA.
Adv Surg. 2024 Sep;58(1):107-119. doi: 10.1016/j.yasu.2024.04.007. Epub 2024 May 16.
Parastomal hernias are an inevitable consequence of ostomy formation and their repairs remain a challenge to many surgeons. With multiple systems of classification and a multitude of techniques for hernia repair ranging from suture to mesh repair, the literature remains sparse with regards to the optimal method of repair. The authors describe the most commonly adopted techniques, discuss preventative measures, and review the current literature in the context of perioperative outcomes and hernia recurrence.
肠造口术后疝是肠造口形成不可避免的后果,其修复仍然是许多外科医生面临的挑战。由于分类系统众多,疝修补技术从缝线到网片修补不等,因此文献中关于最佳修复方法的报道仍然很少。作者描述了最常采用的技术,讨论了预防措施,并根据围手术期结果和疝复发的情况回顾了当前的文献。