探讨腹腔镜下置入IPST专用疝补片并开放原位造口重建在治疗造口旁疝的临床疗效及治疗体会。

回顾分析2016年至2024年52例造口旁疝患者行腹腔镜下置入IPST专用疝补片并开放原位造口重建术的临床资料、分析患者疝环大小、手术时间、肠道功能恢复时间、术后住院时间、术后并发症发生情况。

52例患者均顺利完成手术、疝环大小5.5（4~10）cm×4.2（3~8）cm，手术时间110（90~120）min、术后肠道功能恢复时间2（1~5）d、术后住院6（4~8）d。术后随访30（3~54）个月、术后并发症发生率为外露造口肠管穿孔1例、造口处腹壁切口愈合不良1例，经保守治疗后好转，无感染、复发、血清肿、肠梗阻、造口狭窄情况发生。

腹腔镜下置入IPST专用疝补片并开放原位造口重建术治疗造口旁疝手术安全、效果较理想、对于缺损大且存在造口脱垂造口旁疝患者更推荐此术式。

To explore the clinical efficacy and treatment experience of laparoscopic placement of IPST-specific hernia patch and open ostomy reconstruction in the treatment of stoma-side hernia.

: The clinical data of 52 patients with stoma-side hernia who underwent laparoscopic placement of IPST-specific hernia patch and open ostomy reconstruction from 2016 to 2024 were retrospectively analyzed. The size of the hernia ring, operation time, recovery time of intestinal function, postoperative hospital stay, and occurrence of postoperative complications were analyzed.

All 52 patients successfully completed the surgery. The size of the hernia ring was 5.5 (4~10)cm × 4.2 (3~8)cm. The operation time was 110 (90~120) minutes. The recovery time of intestinal function was 2 (1~5) days. The postoperative hospital stay was 6 (4~8) days. Postoperative follow-up was conducted for 30 (3~54) months. The incidence of postoperative complications was 1 case of exposed stoma intestinal perforation (see surgical complications ①) and 1 case of poor healing of the abdominal wall incision at the stoma site (see surgical complications ②). After conservative treatment, they improved. There was no infection, recurrence, seroma, intestinal obstruction, or stoma stenosis.

Laparoscopic placement of IPST-specific hernia patch and open ostomy reconstruction is a safe and effective surgical method for treating stoma-side hernia. It is more recommended for patients with large defects and stoma prolapse at the stoma side.