造口旁疝的预防和处理

Prevention amd management of parastomal hernias

造口旁疝是腹部外科领域具有挑战性的疾病。应用传统非手术和手术改进方法预防造口旁疝收效较小,而近年来引入的造口时以Sublay方法预防性放置补片的主张和技术有可能会使造口旁疝的发生率发生显著的变化。传统的原位或移位组织对组织修补方法术后复发率很高,由于修补材料应用,造口旁疝的手术治疗近期效果已获得明显改善,但远期效果还难以确定,需要进一步随访观察,特别是大组的、随机对照的临床试验研究。

Parastomal hernia represents a major surgical challenge. Many surgical techniques have been tried to prevent and treat parastomal hernia; but despite these efforts, herniation continues to be a problem. It is possible to remarkahly reduces the incidence of parastomal hernias duo to the use of the technique which places a,prophylactic mesh in Sublay position at the primary operation. Recurrence rates after Traditional surgical treatment of parastoma｜ hernia are unacceptable high, the short-term results of treatment for parastomal hernias have significantly been improved by using prosthetic mesh, the long-term results are needed for investigation further, especially for large population, randomized, eontrolled clinical trials.