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Related Experiment Videos

Parastomal hernia

L Martin1, G Foster

  • 1Countess of Chester Hospital.

Annals of the Royal College of Surgeons of England
|March 1, 1996
PubMed
Summary
This summary is machine-generated.

Parastomal herniation, a common stoma complication, can be prevented with extraperitoneal techniques or mesh reinforcement. Surgical repair requires prosthetic mesh to avoid high recurrence rates.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology

Background:

  • Parastomal herniation is a frequent complication following stoma creation.
  • Risk factors include surgical technique and trephine size.

Purpose of the Study:

  • To review current strategies for preventing and treating parastomal herniation.

Main Methods:

  • Review of surgical techniques for stoma formation.
  • Analysis of methods for parastomal hernia repair.

Main Results:

  • Extraperitoneal techniques, limited trephine size (1.5-2.0 cm), or mesh reinforcement can reduce incidence.
  • Intraperitoneal techniques necessitate bringing the intestine through the rectus muscle.
  • Support belts offer symptomatic control.

Related Experiment Videos

  • Fascial repair alone is associated with high recurrence; prosthetic mesh is recommended.
  • Stoma relocation is advised for primary repairs.

    • Conclusions:

    • Preventive measures and appropriate surgical repair techniques are crucial for managing parastomal hernias.
    • Prosthetic mesh is essential for durable surgical repair.