Surgical treatment and selection of surgical operation for parastomal hernia

doi:10.3877/cma.j.issn.1674-392X.2020.03.002

Abstract

Abstract:

Parastomal hernia is one of the common complications after various types of abdominal ostomy, and the incidence of parastomal hernia is increasing. With the development ofthe disease, parastomal hernias can cause discomfort to the patient and even cause a life threat to the patient. This article summarizes and discusses the diagnosis, classification, and prevention of parastomal hernias. This article also provides a reference for the selection of common surgical methods.

Key words: Parastomal hernia, Laparoscopes, Herniorrhaphy

Hongyu Yang, Fuquan Yang. Surgical treatment and selection of surgical operation for parastomal hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2020, 14(03): 213-217.

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References 55

[1]	Goligher JC, Smiddy FG. The treatment of acute obstruction orperforation with carcinoma of the colon and rectum[J]. Br J Surg, 1957, 45(191): 270-274.
[2]	Lüning TH, Spillenaar-Bilgen EJ. Parastomal hernia: complications of extra-peritoneal onlay mesh placement[J]. Hernia, 2009, 13(5): 487-490.
[3]	Vierimaa M, Klintrup K, Biancari F, et al. Prospective, Randomized Study on the Use of a Prosthetic Mesh for Prevention of Parastomal Hernia of Permanent Colostomy[J]. Dis Colon Rectum, 2015, 58(10): 943-949.
[4]	García-Vallejo L, Concheiro P, Mena E, et al. Parastomal hernia repair: laparoscopic ventral hernia meshplasty with stoma relocation. The current state and a clinical case presentation[J]. Hernia, 2011, 15(1): 85-91.
[5]	Helgstrand F, Rosenberg J, Kehlet H, et al. Risk of morbidity, mortality, and recurrence after parastomal hernia repair: a nationwide study[J]. DisColon Rectum, 2013, 56(11): 1265-1272.
[6]	Serra-Aracil X, Bombardo-Junca J, Moreno-Matias J, et al. Randomized, controlled, prospective trial of the use of a mesh to prevent parastomal hernia[J]. AnnSurg, 2009, 249(4): 583-587.
[7]	Aquina CT, Iannuzzi JC, Probst CP, et al. Parastomal hernia: a growing problem with new solutions[J]. DigSurg, 2014, 31(4-5): 366-376.
[8]	Devlin HB, Kingsnorth A. Management of abdominal hernias[M]. London: Hodder Arnold Publisher, 1998: 177-178.
[9]	Rubin MS, Schoetz DJ, Matthews JB. Parastomal hernia. Is stoma relocation superior to fascial repair?[J]. ArchSurg, 1994, 129(4): 413-418.
[10]	Gil G, Szczepkowski M. A new classification of parastomal hernias--from the experience at Bielanski Hospital in Warsaw[J]. Pol Przegl Chir, 2011, 83(8): 430-437.
[11]	Moreno-Matias J, Serra-Aracil X, Darnell-Martin A, et al. The prevalence of parastomal hernia after formation of an end colostomy. A new clinico-radiological classification[J]. Colorectal Dis, 2009, 11(2): 173-177.
[12]	Smietanski M, Szczepkowski M, Alexandre J A, et al. European Hernia Society classification of parastomal hernias[J]. Hernia, 2014, 18(1): 1-6.
[13]	Hong SY, Oh SY, Lee JH, et al. Risk factors for parastomal hernia: based on radiological definition[J]. J Korean Surg Soc, 2013, 84(1): 43-47.
[14]	Pilgrim CHC, Mcintyre R, Bailey M. Prospective audit of parastomal hernia: prevalence and associated comorbidities[J]. DisColon Rectum, 2010, 53(1): 71-76.
[15]	Carne PW, Robertson GM, Frizelle FA. Parastomal hernia[J]. Br J Surg, 2003, 90(7): 784-793.
[16]	Israelsson LA. Parastomal Hernias[J]. Surg Clin North Am, 2008, 88(1): 113-125.
[17]	Sørensen LT, Hemmingsen U, Kallehave F, et al. Risk factors for tissue and wound complications in gastrointestinal surgery[J]. Ann Surg, 2005, 241(4): 654.
[18]	Cingi A, Cakir T, Sever A, et al. Enterostomy Site Hernias: A Clinical and Computerized Tomographic Evaluation[J]. Dis Colon Rectum, 2006, 49(10): 1559-1563.
[19]	Gurmu A, Matthiessen P, Nilsson S, et al. The inter-observer reliability is very low at clinical examination of parastomal hernia[J]. Int J Colorectal Dis, 2011, 26(1): 89.
[20]	Strigård K, Gurmu A, Näsvall P, et al. Intrastomal 3D ultrasound; an inter- and intra-observer evaluation[J]. Int J Colorectal Dis, 2013, 28(1): 43-47.
[21]	Gurmu A, Gunnarsson U, Strigård K. Imaging of parastomal hernia using three-dimensional intrastomal ultrasonography[J]. Br J Surg, 2011, 98(7): 1026-1029.
[22]	Group APH. Prevention and treatment of parastomal hernia: a position statement on behalf of the Association of Coloproctology of Great Britain and Ireland[J]. Colorectal Dis, 2018, 20(Suppl 2): 5-19.
[23]	Leichtle SW, Mouawad NJ, Lampman R, et al. Does Preoperative anemia adversely affect colon and rectal surgery outcomes?[J]. Jour Amer Coll Surg, 2011, 212(2): 187-194.
[24]	Temple B, Farley T, Popik K, et al. Prevalence of parastomal hernia and factors associated with its development[J]. J Wound Ostomy Continence Nurs, 2016, 43(5): 489-493.
[25]	Sorensen LT, Hemmingsen U, Kallehave F, et al. Risk factors for tissue and wound complications in gastrointestinal surgery[J]. Ann Surg, 2005, 241(4): 654-658.
[26]	Sørensen LT. Wound healing and infection in surgery: the pathophysiological impact of smoking, smoking cessation, and nicotine replacement therapy: a systematic review[J]. J Urol, 2012, 188(6): 2243-2244.
[27]	Mcgrath A, Porrett T, Heyman B. Parastomal hernia: an exploration of the risk factors and the implications[J]. Br J Nurs, 2006, 15(6): 317-321.
[28]	Rosen MJ, Aydogdu K, Grafmiller K, et al. A Multidisciplinary Approach to Medical Weight Loss Prior to Complex Abdominal Wall Reconstruction: Is it Feasible?[J]. Jour Gast Surg, 2015, 19(8): 1399-1406.
[29]	Hansson BME, Slater NJ, Arjan Schouten VDV, et al. Surgical techniques for parastomal hernia repair: a systematic review of the literature[J]. Ann Surg, 2012, 255(4): 685-695.
[30]	Hansson BME, vanNieuwenhoven EJ, Bleichrodt RP. Promising new technique in the repair of parastomal hernia[J]. Surg Endosc, 2003, 17(11): 1789-1791.
[31]	姚琪远，何凯. 造口旁疝手术治疗术式选择及技术要点[J]. 中国实用外科杂志, 2012,(6): 443-445.
[32]	Sugarbaker PH. Peritoneal approach to prosthetic mesh repair of paraostomy hernias[J]. Ann Surg, 1985, 201(3): 344-346.
[33]	Berger D, Bientzle M. Laparoscopic Repair of Parastomal Hernias: A Single Surgeon’s Experience in 66 Patients[J]. Dis Colon Rectum, 2007, 50(10): 1668-1673.
[34]	何凯，姚琪远，陈浩. 腹腔镜造口重做造口旁疝补片修补术的手术效果及安全性评估[J]. 外科理论与实践, 2010, 15(6): 616-619.
[35]	何凯，姚琪远. 腹腔镜下造口疝修补手术方式的"个体化"选择[J]. 手术, 2016, 1(2): 38-40.
[36]	Hotouras A, Murphy J, Thaha M, et al. The persistent challenge of parastomal herniation: a review of the literature and future developments[J]. Colorectal Dis, 2013, 15(5): e202-214.
[37]	Kasperk R, Klinge U, Schumpelick V. The repair of large parastomal hernias using a midline approach and a prosthetic mesh in the sublay position[J]. Am J Surg, 2000, 179(3): 186-188.
[38]	Guzmán-Valdivia G, Guerrero TS, Laurrabaquio HV. Parastomal hernia-repair using mesh and an open technique[J]. World J Surg, 2008, 32(3): 465-470.
[39]	Longman RJ, Thomson WH. Mesh repair of parastomal hernias--a safety modification[J]. Colorectal Dis, 2010, 7(3): 292-294.
[40]	Cross AJ, Buchwald PL, Frizelle FA, et al. Meta-analysis of prophylactic mesh to prevent parastomal hernia[J]. Br J Surg, 2017, 104(3): 179-186.
[41]	田文，费阳. 达芬奇手术机器人系统在疝外科的应用[J]. 中华胃肠外科杂志, 2018, 21(7): 740-743.
[42]	姚琪远，何凯. 造口旁疝的腹腔镜手术[J]. 中华胃肠外科杂志, 2012, 15(8): 799-800.
[43]	田文，郗洪庆. 达芬奇机器人疝手术与发展趋势[J/CD]. 中华普外科手术学杂志(电子版), 2017, 11(1): 5-7.
[44]	吴卉，花荣，陈锦先. 腹膜外结肠造口术后造口旁疝病因的病例-对照研究[J]. 外科理论与实践, 2010, 15(6): 632-635.
[45]	Hardt J, Meerpohl JJ, Metzendorf MI, et al. Lateral pararectal versus transrectal stoma placement for prevention of parastomal herniation[J]. Cochrane Database Syst Rev, 2019, 4(4): CD009487.
[46]	Yoo SB, Jeong SY, Lim SB, et al. Left-sided ileostomy at specimen extraction site in laparoscopic-assisted low anterior resection for rectal cancer[J]. J Laparoendosc Adv Surg Tech A, 2013, 23(1): 22-25.
[47]	Hong SY, Oh SY, Lee JH, et al. Risk factors for parastomal hernia: based on radiological definition[J]. J Korean Surg Soc, 2013, 84(1): 43-47.
[48]	李基业. 造口旁疝的预防和外科治疗进展[J]. 中华消化外科杂志, 2015, 14(10): 811-812.
[49]	Jones HG, Rees M, Aboumarzouk OM, et al. Prosthetic mesh placement for the prevention of parastomal herniation[J]. Cochrane Database Syst Rev, 2018, 7(12): CD008905.
[50]	Aldridge A, Simson J. Erosion and perforation of colon by synthetic mesh in a recurrent paracolostomy hernia[J]. Hernia, 2001, 5(2): 110-112.
[51]	Raigani S, Criss CN, Petro CC, et al. Single-Center Experience With Parastomal Hernia Repair Using Retromuscular Mesh Placement[J]. J Gastrointest Surg, 2014, 18(9): 1673-1677.
[52]	Pauli EM, Juza RM, Winder JS. How I do it: novel parastomal herniorrhaphy utilizing transversus abdominis release[J]. Hernia, 2016, 20(4): 547-552.
[53]	Yang X, He K, Hua R, et al. Laparoscopic repair of parastomal hernia[J]. Ann Transl Med, 2017, 5(3): 45.
[54]	Poulose BK, Roll S, Murphy JW, et al. Design and implementation of the Americas Hernia Society Quality Collaborative(AHSQC): improving value in hernia care[J]. Hernia, 2016, 20(2): 177-189.
[55]	郭自成，杨福全. 腹腔镜造口旁疝修补术的术式选择与并发症处理[J]. 腹部外科, 2017, 30(3): 159-163.

分型	Devlin和Kingsnorth^[8]	Rubin等^[9]	Gil和Szcepkowski^[10]	Moreno-Matia^[11]
0	?	?	?	腹膜伴随肠壁形成造口，无疝囊(Ia：结肠造口且形成疝囊<5 cm；Ib：结肠造口且形成疝囊>5 cm)
Ⅰ	腹壁间位疝	真性造口旁疝(Ia：腹壁间位；Ib：皮下)	小而孤立的造口旁疝	腹膜伴随肠壁形成造口，无疝囊(Ia：结肠造口且形成疝囊<5 cm；Ib：结肠造口且形成疝囊>5 cm)
Ⅱ	皮下疝	腹壁间位疝	小造口旁疝合并中线切口疝(无明显的前腹壁畸形)	伴有大网膜进入的疝囊
Ⅲ	造口内疝	皮下脱垂	大而孤立的造口旁疝(合并前腹壁明显畸形)	伴有造口肠管以外的肠袢
Ⅳ	造口旁疝(造口脱垂)	假疝(与侧腹壁功能不全或去神经支配相关)	较大的造口旁疝合并中线切口疝(合并前腹壁明显畸形)	?

分型	Devlin和Kingsnorth^[8]	Rubin等^[9]	Gil和Szcepkowski^[10]	Moreno-Matia^[11]
0	?	?	?	腹膜伴随肠壁形成造口，无疝囊(Ia：结肠造口且形成疝囊<5 cm；Ib：结肠造口且形成疝囊>5 cm)
Ⅰ	腹壁间位疝	真性造口旁疝(Ia：腹壁间位；Ib：皮下)	小而孤立的造口旁疝	腹膜伴随肠壁形成造口，无疝囊(Ia：结肠造口且形成疝囊<5 cm；Ib：结肠造口且形成疝囊>5 cm)
Ⅱ	皮下疝	腹壁间位疝	小造口旁疝合并中线切口疝(无明显的前腹壁畸形)	伴有大网膜进入的疝囊
Ⅲ	造口内疝	皮下脱垂	大而孤立的造口旁疝(合并前腹壁明显畸形)	伴有造口肠管以外的肠袢
Ⅳ	造口旁疝(造口脱垂)	假疝(与侧腹壁功能不全或去神经支配相关)	较大的造口旁疝合并中线切口疝(合并前腹壁明显畸形)	?

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