中国实用外科杂志2011，Vol.31Issue(8)：748-751,4.
预防性植入合成补片在腹腔镜造口术中的应用
Laparoscopic stoma formation with a prophylactic prosthetic mesh
Janson AR 1J(a)nes A 1Israelsson LA2
作者信息
- 1. Department of Surgery, Kirurgkliniken, Sundsvalls sjukhus, 851 86 Sundsvall, Sweden
- 2. Department of Surgery and Perioperative Science, Umea°University, Umea° , Sweden
- 折叠
摘要
Abstract
objective One year after stoma formation with an open technique, the rate of parastomal hernia is almost 50%. The herniation rate can be reduced to 10% with the use of a prophylactic mesh in a sublay position. For stomas formed with a laparoscopic technique, a surgical method with the use of prophylactic mesh should be sought. Methods Patients with a sigmoidostomy created with a laparoscopic technique were provided with a prophylactic large-pore, low-weight mesh in a sublay position. Followup examination was carried out after at least 12 months. Results Between March 2003 and May 2007, a sigmoidostomy was created in 25 patients. The patients mean age was 65 years (range 31-89), the mean body mass index was 26 (range 21-32) and 15 were female. One stomanecrosis and two minor wound infections occurred. Parastomal hemia was present in 3 of 20 patients (15%) available for follow-up examination after 11-31 months (mean 19). No fistulas or strictures had developed. No mesh infection was noted and no mesh was removed. Conclusion In laparoscopic stoma formation, a prophylactic large-pore, low-weight mesh in a sublay position is an easy and safe procedure associated with a low rate of parastomal hernia.关键词
腹腔镜造口术/乙状结肠造口术/造口旁疝/腹壁疝Key words
laparoscopic stoma/sigmoid stoma/parastomal hernia/ventral hernia分类
医药卫生引用本文复制引用
Janson AR,J(a)nes A,Israelsson LA..预防性植入合成补片在腹腔镜造口术中的应用[J].中国实用外科杂志,2011,31(8):748-751,4.
