Difficulties and principles of parastomal hernia repair
LIU Chang
JI Yan-chao
Abstract:Parastomal hernia refers to colostomy related hernia,and is the most common later complication after abdominal stoma surgery that can cause serious complication, like intestinal obstruction,intestinal necrosis. Parastomal hernia can only be cured by surgery. However,the surgery itself contains many uncertain factors,may causes bowel injury, relapse, intestinal fistula, infection and other complications. So it is the difficult point in the field of hernia surgery. The premises of laparoscopy hernia surgery are without damaging the bowel and blood supply, reducing complications and relapse rate. There are many points should be paid attention to, such as full free expose, closing the abdominal wall tissue defects and hernia ring, selecting appropriate size of the patch, controlling abdominal pressure under 1.1-1.3 kPa and using suited size of drainage tube.
Keywords:parastomal herniatension free repair
Publication Date:2014-01-01
Online Publishing Date:2025-08-15(First online date of this platform, not the publication date of the document)
Pages:4( 405-408 )
