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Parastomal Hernia Repair
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  • 作者:Conor H. O’Neill ; Edward C. Borrazzo ; Neil H. Hyman
  • 关键词:Parastomal hernia repair ; Sugarbaker technique ; Parastomal fascial onlay ; Laparoscopic hernia repair
  • 刊名:Journal of Gastrointestinal Surgery
  • 出版年:2015
  • 出版时间:April 2015
  • 年:2015
  • 卷:19
  • 期:4
  • 页码:766-769
  • 全文大小:478 KB
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    13. Lopez-Cano, M, Lozoya-Trujillo, R, Quiroga, S (2012) Use of a prosthetic mesh to prevent parastomal hernia during laparoscopic abdominoperineal resection: a randomized controlled trial. Hernia : the Journal of Hernias and Abdominal Wall Surgery 16: pp. 661-7 CrossRef
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    15. Fleshman, JW, Beck, DE, Hyman, N (2014) A prospective, multicenter, randomized, controlled study of non-cross-linked porcine acellular dermal matrix fascial sublay for parastomal reinforcement in patients undergoing surgery for permanent abdominal wall ostomies. Diseases of the Colon and Rectum 57: pp. 623-31 CrossRef
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  • 刊物主题:Surgery; Gastroenterology;
  • 出版者:Springer US
  • ISSN:1873-4626
文摘
Parastomal herniation is a common clinical occurrence. Historically, there has been a high recurrence rate after repair, and conservative management is usually recommended for patients with mild symptoms. When operative intervention is warranted, we opt for a laparoscopic mesh sublay over the fascial defect and lateralization of the stoma limb, or the Sugarbaker technique. In patients who are considered poor risk for laparoscopy/laparotomy requiring repair, we perform a fascial onlay with mesh utilizing an anterior circumstomal approach.

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