Repair of complex parastomal hernias

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• 作者：G. S. Hwang (1) (2)
  M. H. Hanna (1)
  J. C. Carmichael (1)
  S. D. Mills (1)
  A. Pigazzi (1)
  M. J. Stamos (1) (3)
  
  1. Department of Surgery ; Irvine School of Medicine ; University of California ; Irvine ; CA ; USA
  2. Department of Surgery ; Keck School of Medicine ; University of Southern California ; Los Angeles ; CA ; USA
  3. Department of Surgery ; Irvine School of Medicine ; University of California ; 333 City Blvd. West Suite 850 ; Orange ; CA ; 92868 ; USA
  
• 关键词：Complex parastomal hernia ; Treatment ; Prevention
• 刊名：Techniques in Coloproctology
• 出版年：2015
• 出版时间：March 2015
• 年：2015
• 卷：19
• 期：3
• 页码：127-133
• 全文大小：180 KB
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• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Surgery
  Gastroenterology
  Proctology
  Abdominal Surgery
  Colorectal Surgery
  
• 出版者：Springer Milan
• ISSN：1128-045X

文摘

Development of parastomal hernias (PH) is very common after stoma formation and carries a risk of subsequent bowel incarceration, obstruction and strangulation. The management of PH remains a challenge for the colorectal surgeon, and there are currently no standardized guidelines for the treatment of PH. Even more difficult is the management of complex parastomal hernias (CPH). We conducted a review of the literature to identify recent developments in the treatment of CPH, including analysis of the use of synthetic and biologic mesh prostheses, method of mesh placement and surgical approach.