造口旁疝修补术中难点及处理原则

Difficulties and principles of parastomal hernia repair

造口旁疝是指与肠造口有关的疝,是腹部造口术后最常见的晚期并发症,可引起肠梗阻、肠坏死等严重并发症。外科手术是治愈造口旁疝的惟一方法,但手术本身尚有许多不确定的因素,存在肠管损伤、复发、肠瘘、感染等并发症,是疝外科领域中的难点问题。在不损伤肠管、

Parastomal hernia refers to colostomy related hernia,and is the most common later complication after abdominal stoma surgery that can cause serious complication, like intestinal obstruction,intestinal necrosis. Parastomal hernia can only be cured by surgery. However,the surgery itself contains many uncertain factors,may causes bowel injury, relapse, intestinal fistula, infection and other complications. So it is the difficult point in the field of hernia surgery. The premises of laparoscopy hernia surgery are without damaging the bowel and blood supply, reducing complications and relapse rate. There are many points should be paid attention to, such as full free expose, closing the abdominal wall tissue defects and hernia ring, selecting appropriate size of the patch, controlling abdominal pressure under 1.1-1.3 kPa and using suited size of drainage tube.