切换至 "中华医学电子期刊资源库"

中华普外科手术学杂志(电子版) ›› 2022, Vol. 16 ›› Issue (01) : 115 -118. doi: 10.3877/cma.j.issn.1674-3946.2022.01.032

综述

造口旁疝的外科治疗现状及展望
佟贵繁1, 王峰2, 杜瑞2, 周佳杰2, 李东亮2, 汤东2, 王道荣2,()   
  1. 1. 116044 辽宁大连,大连医科大学
    2. 225001 江苏扬州,扬州大学临床医学院,江苏省苏北人民医院,扬州市普通外科研究所
  • 收稿日期:2020-05-18 出版日期:2022-02-26
  • 通信作者: 王道荣

Status and prospects of surgical treatment of parastomal hernias

Guifan Tong1, Feng Wang2, Rui Du2, Jiajie Zhou2, Dongliang Li2, Dong Tang2, Daorong Wang2,()   

  1. 1. Dalian medical university, Dalian Liaoning Province 116004, China
    2. Department of General Surgery, General Surgery Institute of Yangzhou city, Northern Jiangsu Province Hospital, Clinical Medical College, Yangzhou University, Yangzhou Jiangsu Province 225001, China
  • Received:2020-05-18 Published:2022-02-26
  • Corresponding author: Daorong Wang
  • Supported by:
    Yangzhou 13th five-year Plan, Science and Education Clinical Medical Center For Improve Medical Sciences(constructed by province and city)(YZLCYXZX201801)
引用本文:

佟贵繁, 王峰, 杜瑞, 周佳杰, 李东亮, 汤东, 王道荣. 造口旁疝的外科治疗现状及展望[J]. 中华普外科手术学杂志(电子版), 2022, 16(01): 115-118.

Guifan Tong, Feng Wang, Rui Du, Jiajie Zhou, Dongliang Li, Dong Tang, Daorong Wang. Status and prospects of surgical treatment of parastomal hernias[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2022, 16(01): 115-118.

造口旁疝是永久性肠造口术后最常见的远期并发症之一,属于造口旁腹壁切口疝的一种。其发病率逐年增加,虽然大部分造口旁疝患者无明显临床症状,或仅有轻微的腹部不适感,可通过保守治疗改善,但当患者出现严重腹痛、肠梗阻及腹部膨隆等并发症时常需手术治疗。手术方式主要包括3种:缝合修补术、造口移位术及补片修补术。对于有高危险因素的患者,可考虑在造口时预防性放置补片。复习国内外相关文献,就造口旁疝的外科治疗研究进展进行总结论述。

Parastomal hernia is one of the most common long-term complications after permanent enterostomy. Which is a type of parastomal abdominal incisional hernia. The incidence is increasing year by year. Although the majority of parastomal hernias are asymptomatic or only have a slight abdominal discomfort,which can be improved by conservative treatment,surgical treatment is often required when severe abdominal pain,intestinal obstruction and abdominal distension. The three major surgical approaches include suture repair,stoma translocation,and mesh repair. For patients with high risk factors,preventive placement of a mesh during an ostomy may be considered. This paper reviewed recent literatures,and summarize the research progress of surgical treatment of parastomal hernia.

[1]
Krishnamurty DM,,Blatnik J,,Mutch M. Stoma complications[J]. Clin Colon Rectal Surg201730(3):193-200.
[2]
Patel SV,,Zhang L,,Chadi SA,et al. Prophylactic mesh to prevent parastomal hernia:a meta-analysis of randomized controlled studies[J]. Tech Coloproctol201721(1):5-13.
[3]
Glasgow SC,,Dharmarajan S. Parastomal hernia:Avoidance and treatment in the 21st century[J]. Clin Colon Rectal Surg201629(3):277-284.
[4]
Whitehead A,,Cataldo PA. Technical considerations in stoma creation[J]. Clin Colon Rectal Surg201730(3):162-171.
[5]
Aquina CT,,Iannuzzi JC,,Probst CP,et al. Parastomal hernia:a growing problem with new solutions[J]. Dig Surg201431(4-5):366-376.
[6]
Tadeo-Ruiz G,,Picazo-Yeste JS,,Moreno-Sanz C,et al. Parastomal hernias:background,current status and future prospects[J]. Cirugia espanola201087(6):339-349.
[7]
Gurmu A,,Matthiessen P,,Nilsson S,et al. The inter-observer reliability is very low at clinical examination of parastomal hernia[J]. Int J Colorectal Dis201126(1):89-95.
[8]
Williams JG,,Etherington R,,Hayward MW,et al. Paraileostomy hernia:a clinical and radiological study[J]. Br J Surg199077(12):1355-1357.
[9]
Kane M,,McErlean D,,McGrogan M,et al. Clinical protocols for stoma care:6. Management of parastomal hernia[J]. Nurs Stand200418(19):43-44.
[10]
Erwin-Toth P,,Thompson SJ,,Davis JS. Factors impacting the quality of life of people with an ostomy in North America:results from the Dialogue Study[J]. J Wound Ostomy Continence Nurs201239(4):417-422;quiz 423-424.
[11]
Israelsson LA. Preventing and treating parastomal hernia[J]. World J Surg200529(8):1086-1089.
[12]
Antoniou SA,,Agresta F,,Garcia Alamino JM,et al. European Hernia Society guidelines on prevention and treatment of parastomal hernias[J]. Hernia201822(1):183-198.
[13]
Rosen MJ,,Reynolds HL,,Champagne B,et al. A novel approach for the simultaneous repair of large midline incisional and parastomal hernias with biological mesh and retrorectus reconstruction[J]. Am J Surg2010199(3):416-420;discussion 420-421.
[14]
Smietanski M,,Szczepkowski M,,Alexandre JA,et al. European Hernia Society classification of parastomal hernias[J]. Hernia201418(1):1-6.
[15]
Hansson BM,,Slater NJ,,van der Velden AS,et al. Surgical techniques for parastomal hernia repair:a systematic review of the literature[J]. Ann Surg2012255(4):685-695.
[16]
Allen-Mersh TG,,Thomson JP. Surgical treatment of colostomy complications[J]. Br J Surg198875(5):416-418.
[17]
Amin SN,,Armitage NC,,Abercrombie JF,et al. Lateral repair of parastomal hernia[J]. Ann R Coll Surg Engl200183(3):206-208.
[18]
Hotouras A,,Murphy J,,Thaha M. The persistent challenge of parastomal herniation:a review of the literature and future developments[J]. Colorectal Dis201315(5):e202- e214.
[19]
Al Shakarchi J,,Williams JG. Systematic review of open techniques for parastomal hernia repair[J]. Tech Coloproctol201418(5):427-432.
[20]
Hansson BM,,Morales-Conde S,,Mussack T,et al. The laparoscopic modified Sugarbaker technique is safe and has a low recurrence rate:a multicenter cohort study[J]. Surg Endosc201327(2):494-500.
[21]
Pauli EM,,Juza RM,,Winder JS. How I do it:novel parastomal herniorrhaphy utilizing transversus abdominis release[J]. Hernia201620(4):547-552.
[22]
Jani K. Laparoscopic paracolostomy hernia repair:a retrospective case series at a tertiary care center[J]. Surg Laparosc Endosc Percutan Tech201020(6):395-398.
[23]
Olmi S,,Oldani A,,Uccelli M,et al. Laparoscopic Modified Keyhole Technique with Coated Polyester Mesh for Treatment of Parastomal Hernia:Measures for Improving the Outcome[J]. J Laparoendosc Adv Surg Tech A201929(5):681-684.
[24]
Yang X,,He K,,Hua R,et al. Laparoscopic repair of parastomal hernia[J]. Ann Transl Med20175(3):45.
[25]
DeAsis FJ,,Lapin B,,Gitelis ME,et al. Current state of laparoscopic parastomal hernia repair:A meta-analysis[J]. World J Gastroenterol201521(28):8670-8677.
[26]
Szczepkowski M,,Skoneczny P,,Przywozka A,et al. New minimally invasive technique of parastomal hernia repair - methods and review[J]. Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques201510(1):1-7.
[27]
Maciel V,,Mata W,,Arevalo G,et al. Robotic retro-rectus repair of parastomal hernias[J]. J Robot Surg201913(3):483-489.
[28]
林贤超,黄鹤光,陆逢春,等. 机器人造口旁疝修补术1例报告[J]. 中国实用外科杂志201939(8):875-876.
[29]
Prabhu AS,,Dickens EO,,Copper CM,et al. Laparoscopic vs Robotic Intraperitoneal Mesh Repair for Incisional Hernia:An Americas Hernia Society Quality Collaborative Analysis[J]. J Am Coll Surg2017225(2):285-293.
[30]
Chapman SJ,,Wood B,,Drake TM,et al. Systematic Review and Meta-analysis of Prophylactic Mesh During Primary Stoma Formation to Prevent Parastomal Hernia[J]. Dis Colon Rectum201760(1):107-115.
[31]
Brandsma HT,,Hansson BM,,Aufenacker TJ,et al. Prophylactic mesh placement during formation of an end-colostomy reduces the rate of parastomal hernia:Short-term results of the dutch PREVENT-trial[J]. Ann Surg2017265(4):663-669.
[32]
Cross AJ,,Buchwald PL,,Frizelle FA,et al. Meta-analysis of prophylactic mesh to prevent parastomal hernia[J]. Br J Surg2017104(3):179-186.
[33]
Jones HG,,Rees M,,Aboumarzouk OM,et al. Prosthetic mesh placement for the prevention of parastomal herniation[J]. The Cochrane database of systematic reviews20187(7):CD008905.
[34]
田文,郗洪庆. 达芬奇机器人疝手术与发展趋势[J/CD]. 中国普外科手术学杂志(电子版)201711(1):5-7.
[1] 吴畏, 吴永哲, 李宗倍, 崔宏力, 李华志, 许臣. 轻质大网孔补片腹腔镜下疝修补术治疗老年腹股沟疝的疗效及炎症因子的影响[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 70-73.
[2] 曹迪, 张玉茹. 经腹腔镜生物补片修补直肠癌根治术后盆底疝1例[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 115-116.
[3] 张海涛, 康婵娟, 翟静洁. 胰管支架置入治疗急性胆源性胰腺炎效果观察[J]. 中华普外科手术学杂志(电子版), 2023, 17(06): 654-657.
[4] 孟飞龙, 华帅, 张莹, 路广海. 经脐单孔腹腔镜后鞘后入路在全腹膜外腹股沟疝修补术中的应用[J]. 中华普外科手术学杂志(电子版), 2023, 17(06): 658-660.
[5] 唐健雄, 李绍杰. 不断推进中国腹腔镜疝手术规范化[J]. 中华普外科手术学杂志(电子版), 2023, 17(06): 591-594.
[6] 田文, 杨晓冬. 腹腔镜腹股沟疝修补术式选择及注意事项[J]. 中华普外科手术学杂志(电子版), 2023, 17(06): 595-597.
[7] 孔博, 张璟, 吕珂. 超声技术在复杂腹壁疝诊治中的作用[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(06): 670-673.
[8] 张起尧, 刘子文. 复杂腹壁疝的解剖和生物力学基础[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(06): 674-676.
[9] 邢晓伟, 刘雨辰, 赵冰, 王明刚. 基于术前腹部CT的卷积神经网络对腹壁切口疝术后复发预测价值[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(06): 677-681.
[10] 毛永欢, 仝瀚文, 缪骥, 王行舟, 沈晓菲, 喻春钊. 造口旁疝危险因素预测模型构建[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(06): 682-687.
[11] 叶晋生, 路夷平, 梁燕凯, 于淼, 冀祯, 贺志坚, 张洪海, 王洁. 腹腔镜下应用生物补片修补直肠术后盆底缺损的疗效[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(06): 688-691.
[12] 王可, 范彬, 李多富, 刘奎. 两种疝囊残端处理方法在经腹腹膜前腹股沟疝修补术中的疗效比较[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(06): 692-696.
[13] 袁伟, 张修稳, 潘宏波, 章军, 王虎, 黄敏. 平片式与填充式腹股沟疝修补术的疗效比较[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(06): 697-701.
[14] 夏松, 姚嗣会, 汪勇刚. 经腹腹膜前与疝环充填式疝修补术治疗腹股沟疝的对照研究[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(06): 702-705.
[15] 姜明, 罗锐, 龙成超. 闭孔疝的诊断与治疗:10年73例患者诊疗经验总结[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(06): 706-710.
阅读次数
全文


摘要