Parastomal hernia repair with the Sugarbaker technique using e-PTFE mesh
Parastomal hernia repair with the Sugarbaker technique using e-PTFE mesh
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DOI：
10.1007/s00595-015-1137-z
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发表时间：
2016-01-01
期刊：
影响因子：
2.5
通讯作者：
Tokumura, Hiromi
中科院分区：
文献类型：
--
作者：
Funayama, Yuji;Takahashi, Ken-ichi;Tokumura, Hiromi
目的虽然手术是治疗造口旁疝的常用方法，但手术难度大，效果差。方法对7例造口旁疝患者采用Sugarbaker技术和e-PTFE补片（Dualmesh（R））经开放手术修补造口旁疝。其中2例为复发病例。其中3名患者发生了肠嵌顿，并在手术前保守恢复。造口旁疝修补术患者年龄37.7-84.7岁，中位年龄77.6岁。中位疝大小为28 cm（2）（范围7.5-60 cm（2））。术中失血量中位数为158 g（范围0-370 g）。未观察到手术部位感染。术后中位住院时间为17天（范围13-40），中位随访时间为2.4年（范围1.0-3.7）。在随访期间，我们没有观察到复发或再入院。结论手术效果令人满意，发病率最低，没有复发。使用e-PTFE补片进行造口旁修补的Sugarbaker技术可能适合作为治疗造口旁疝的标准方法。
Purposes Although surgery is commonly used to treat parastomal hernia, it is very difficult and has shown poor results. Recently, repair with prosthetic materials has been thought to be a more promising method.Methods The Sugarbaker technique with e-PTFE mesh (Dualmesh (R)) performed via open surgery was adopted for seven patients with parastomal hernia. Two of them were recurrent cases. Three of the patients experienced incarceration of the intestine and recovered conservatively before surgery. The median age of the patients at the parastomal hernia repair was 77.6 years old (range 37.7-84.7).Results The median operative time was 211 min (range 147-256). The median hernia size was 28 cm(2) (range 7.5-60 cm(2)). The median amount of blood loss during the operation was 158 g (range 0-370 g). Surgical site infection was not observed. The postoperative median hospital stay was 17 days (range 13-40) and the median follow-up was 2.4 years (range 1.0-3.7). During the follow-up period, we did not observe recurrence or readmission.Conclusions The surgical results were satisfactory with minimal morbidity and no recurrences. The Sugarbaker technique for parastomal repair using e-PTFE mesh may be suitable as a standard method for treating parastomal hernia.