肥胖合并造口旁疝诊治中的相关问题

Related problems in the treatment and prevention of parastomal hernia in obesity patients

肥胖是促进造口旁疝发生发展的重要因素,其诊治具有特殊性,治疗效果至今尚不理想。对于肥胖合并造口旁疝病人,准确评估肥胖及其相关代谢性疾病以及充分的术前准备是手术治疗的基础,正确掌握手术时机与合理选择术式是提高治疗成功率的重要保证,采用包括补片在内的预防措施将有可能为减少造口旁疝的发生提供重要支持。

Obesity is an important factor leading to the development of parastomal hernia. The diagnosis and surgical treatment of parastomal hernia in obesity patients remain specific,and the therapeutic effect is not ideal till now.Accurate evaluation and adequate preoperative preparation for obesity and its associated metabolic diseases are the basis for parastomal hernia repair in obesity patients. Reasonable selection of the operation time and surgical procedure is very important for successful treatment. Prophylactic mesh augmentation may help to significantly reduce the occurrence of parastomal hernia.