Parastomal hernia - current knowledge and treatment.
Parastomal hernia - current knowledge and treatment.
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DOI：
10.5114/wiitm.2018.72685
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发表时间：
2018-03
期刊：
影响因子：
--
通讯作者：
Rudzki S
中科院分区：
文献类型：
--
作者：
Styliński R;Alzubedi A;Rudzki S
肠造口是最常见的外科手术之一。造口后最常见的长期并发症是造口旁疝，一些作者认为这几乎是不可避免的。其发生的统计学差异主要是由于患者观察时间和评价标准的不同。因此，采用一级预防方法，如放置假体网状物和新开发的微创造口方法。从循证医学的角度来看，治疗造口旁疝的最佳方法似乎是接受治疗的外科医生是最有经验的，并且适合每个病人的个性、他的病情和合并症。一般来说，用假体补片加固腹壁是治疗的选择，并发症发生率低，复发率低。目前的趋势是使用轻质、大孔网。
Intestinal stoma creation is one of the most common surgical procedures. The most common long-term complication following stoma creation is parastomal hernia, which according to some authors is practically unavoidable. Statistical differences of its occurrence are mainly due to patient observation time and evaluation criteria. Consequently, primary prevention methods such as placement of prosthetic mesh and newly developed minimally invasive methods of stoma creation are used. It seems that in the light of evidence-based medicine, the best way to treat parastomal hernia is the one that the surgeon undertaking therapy is the most experienced in and is suited to the individuality of each patient, his condition and comorbidities. As a general rule, reinforcing the abdominal wall with a prosthetic mesh is the treatment of choice, with a low rate of complications and relapses over a long period of time. The current trend is to use lightweight, large pore meshes.
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