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Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2022, Vol. 16 ›› Issue (01): 115-118. doi: 10.3877/cma.j.issn.1674-3946.2022.01.032

• Review • Previous Articles    

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 Online:2022-02-26 Published:2022-02-12
  • Contact: 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)

Abstract:

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.

Key words: Hernia, Parastomal hernia, Herniorrhaphy, Treatment outcome

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