Abstract:
Objective To analyze the clinical effects of orthostomy preperitoneal repair and laparoscopic Sugarbaker in the treatment of parastostomy hernia.
Methods Sixty patients who underwent parastostomy hernia repair from January 2017 to April 2022 were retrospectively analyzed and divided into two groups with 30 cases each according to different operation methods. The observation group underwent in situ preperitoneal repair and the control group underwent laparoscopic Sugarbaker operation. All data were analyzed using SPSS 22.0 software. Measurement data of perioperative indexes，pain scores and ostomy function scores were represented by（
±s），and independent
t test was performed for comparison between groups. The number of postoperative complications and recurrence rate were compared among the data groups by
χ2 test.
P<0.05 was considered statistically significant.
Results The first exhaust time and hospitalization cost of the observation group were better than those of the control group，but the intraoperative blood loss and drainage tube removal time of the control group were better than those of the observation group，the difference was statistically significant（P<0.05）. The pain scores of the observation group were significantly lower than those of the control group at 1 d and 3 d after surgery，and the ostomy function scores at 7 d after surgery were significantly higher than those of the control group（P<0.05）. There was no significant difference in the total complication rate and recurrence rate between the two groups（P>0.05）.
Conclusion Compared with laparoscopic Sugarbaker，the treatment of parastostomy hernia with orthostomy preperitoneal repair results in less postoperative pain，faster recovery of intestinal function，better ostomy function，and less financial burden for patients.
Key words:
Parastomal Hernia,
Preperitoneal Repair,
Laparoscopes,
Lap-re-Do
Dongfeng Duan, Chengguo Wang, Qing Wang, Jian Wang, Liliang Hui, Wei Xin, Yuan Yang. Comparison of clinical effect of two kinds of parastostomy hernia repair[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(04): 435-438.