Abstract:

Parastomal hernia is a common surgical disease, which seriously affects the quality of life and physical health of stoma patients. At present, the main surgical repair methods of parastomal hernia include Keyhole, Sugarbaker and Sandwich. Due to the increase in abdominal pressure, abdominal wall muscle fascia weakness and other physical factors, surgical techniques, repair methods, repair materials and many other factors, the recurrence rate after the parastomal hernia repair is higher than that after other abdominal wall hernia repair. Many aspects need to be studied and discussed in the surgical treatment of parastomal hernia and reducing the recurrence rate. The important factors of parastomal hernia recurrence include: in Keyhole repair method, the size of the mesh reserved for the stoma, the wrinkle of the mesh and control for other factors; in Sugarbaker repair method, the exact fixation problem of mesh, long-term effects of mesh on the structure and function of stoma colon or intestine, etc. Research and improvement of these repair techniques and materials can contribute to improve the therapeutic effect of parastomal hernia and reduce the recurrence rate after parastomal hernia repair.

Key words: Parastomal hernia, Herniorrhaphy, Recurrence