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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Ostomy Care01:24

Ostomy Care

Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
Hiatal Hernia01:25

Hiatal Hernia

A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...
Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...

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Related Experiment Video

Updated: May 27, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
10:52

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

Sigmoidostomy-related parastomal hernia.

T A Wik1, J O B Hjorthaug, H O Johannessen

  • 1Department of Gastroenterological Surgery, Oslo University Hospital HF, Ulleval, Oslo, Norway. t.a.wik@ulleval.no

Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society
|November 24, 2011
PubMed
Summary
This summary is machine-generated.

Parastomal hernias affect 20.1% of patients with sigmoidostomy, often asymptomatic. Mesh repair is common but has recurrence and complication risks.

Related Experiment Videos

Last Updated: May 27, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
10:52

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

Area of Science:

  • Colorectal Surgery
  • Surgical Oncology
  • Abdominal Wall Reconstruction

Background:

  • Parastomal hernias are a known complication following sigmoidostomy creation.
  • Understanding the prevalence and clinical impact of parastomal hernias is crucial for patient management.

Purpose of the Study:

  • To determine the incidence of parastomal hernias in patients who underwent sigmoidostomy.
  • To analyze the treatment outcomes and complications associated with parastomal hernias.

Main Methods:

  • Retrospective review of 447 patients undergoing sigmoidostomy between 1999 and 2008.
  • Follow-up included phone interviews and clinical examinations for parastomal hernia assessment.
  • Analysis of surgical interventions and their outcomes for parastomal hernias.

Main Results:

  • A parastomal hernia incidence of 20.1% was observed over a median follow-up of 20 months.
  • Most parastomal hernias were asymptomatic or caused mild discomfort.
  • Surgical repair, primarily with mesh, had a 37.5% recurrence rate and associated complications like bowel perforation.

Conclusions:

  • Parastomal hernias are a significant concern after sigmoidostomy, with a notable incidence.
  • Current treatment strategies, particularly mesh repair, present challenges with recurrence and complications.
  • Further research into optimal surgical techniques for parastomal hernia repair is warranted.