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Peristomal hernia following end-colostomy: a conservative approach.
The Italian Journal of Surgical Sciences
|January 1, 1984
Summary
Peristomal hernias after abdominoperineal excision for rectal cancer rarely require surgery. This study suggests a conservative management approach is effective for these benign conditions.
Area of Science:
- Colorectal Surgery
- Surgical Oncology
- Gastroenterology
Background:
- Abdominoperineal excision (APE) is a surgical procedure for rectal cancer.
- Peristomal hernias are a potential complication following ostomy creation.
Purpose of the Study:
- To evaluate the long-term outcomes of peristomal hernias after APE.
- To assess the adequacy of restrictive surgical indications for peristomal hernia management.
Main Methods:
- Review of follow-up data from 183 patients who underwent APE.
- Examination of an additional 50 long-term survivors.
Main Results:
- 16 of 183 patients developed peristomal hernias, with no need for surgery over 20 years.
- 7 of 50 long-survivors presented with hernias, none experiencing obstructive symptoms.
- Surgery was deemed unnecessary in all observed hernia cases.
Conclusions:
- Peristomal hernias following APE typically exhibit benign evolution.
- A conservative management strategy, including observation and hernia compression, is supported.
- Controlling factors that increase intra-abdominal pressure is recommended.