造口旁疝的预防和外科治疗进展

Progress of prevention and surgical treatment for parastomal hernia

  • 摘要: 目前,造口旁疝的预防和外科治疗仍是一个棘手的问题。采用传统的非手术和手术方法预防造口旁疝的发生收效甚小。近年来,在造口时运用预防性放置补片的技术已使造口旁疝的发生率显著下降。传统的原位或移位组织的修补方法术后复发率很高,修补材料的应用可使造口旁疝的手术治疗近期效果得到明显改善,而远期效果还难以确定,需要进一步研究观察疗效。

     

    Abstract: Prevention and surgical treatment of para stomal hernia remain a major challenge to surgeons. The effects of traditional nonoperative and surgical treatment would likely be few, but the application of surgical technique which places a prophylactic mesh at the primary operation is bringing down the incidence of parastomal hernia in recent years. Due to a high recurrence rate of parastomal hernia after traditional in or ex situ tissues repair,the shortterm outcomes of surgical treatment for parastomal hernia have significantly been improved by using prosthetic mesh, while the longterm outcomes are uncertain and needed for further investigation.

     

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