开放式肠造口旁疝手术修补法30例分析

Open operation of hernia repair for parastomal hernias:an analysis of 30 cases

目的 分析开放式肠造口旁疝的手术修补方法存在的问题。方法 对2002年6月至2006年6月30例肠造口旁疝病人的手术方式、术后并发症、住院时间、复发情况进行回顾分析。结果 原位腹腔内无张力造口旁疝修补术和移位造口旁疝修补术各有1例复发。移位造口旁疝修补术后有1例皮下积液。原位腹膜前无张力造口旁疝修补术有2例伤口愈合不良。未发生肠坏死及肠梗阻等术后并发症。原位腹腔内和腹膜前无张力造口旁疝修补术后住院时间10～14d，移位造口旁疝修补术后住院时间18～21d。结论 肠造口旁疝无张力修补术的方法还有待进一步改进。

Objective To study different proeedurse of open hernia repair operations for parastomal hernias. Methods Aretrospeetive analyze was done in thirty parastomal hernia patients in Hua Dong Hospital of Shanghai from June 2002 to June 2006 for open hernia repair operation methods, pestoperation compliments pest-operation clays in hospital, recurrenee. Results No-relocation intraperitonial tension-free parastomal hernia repair had one recurrence. Relocation intraperitonial tension-free parastomal hernia repair also had one recurrence. Relocation intraperitonial tension-free parastomal hernia repair had one ease of seroma. No-relocation intraperitonial tension-free parastomal hernia repair had two eases of incision cure delay. No intestinal erosion and obstruction. Days in hospital after operation with no-relocation intraperitonial tension-free parastomal hernia repairis were 10 - 14 days. Days in hospital after operation with relocation intraperitonial tension-free parastomal hernia repairis were 18 -21 days. Conclusion Hernia repair operations for parastomal hernias axe becoming better.