Progress in diagnosis and treatment of parastomal hernia

doi:10.3877/cma.j.issn.1674-392X.2022.05.004

Abstract

Abstract:

Parastomal hernia is one of the most common long-term complications after abdominal wall stoma surgery. It has the characteristics of high incidence and high recurrence rate after repair. It seriously affects the quality of life of patients, and even leads to the increase the medical costs. The purpose of this article is to summarize and discuss the classification, incidence, etiology and risk factors, diagnosis and surgical indications, and surgical treatment of parastomal hernia, combined with domestic and foreign research results and relevant guidelines.

Key words: Parastomal hernia, Diagnosis, Treatment

Yingjie Nie. Progress in diagnosis and treatment of parastomal hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2022, 16(05): 505-509.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhshfbwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-392X.2022.05.004

https://zhshfbwkzz.cma-cmc.com.cn/EN/Y2022/V16/I05/505

Figures/Tables 2

References 58

[1]	Colvin J, Rosenblatt S. Surgical Management of Parastomal Hernias[J]. Surg Clin North Am, 2018, 98(3): 577-592.
[2]	Aslam MI, Rubio-Perez I, Smart NJ, et al. A survey on practices for parastomal hernia prevention and repair among ESCP surgeons[J]. Hernia, 2019, 23(4): 825-828.
[3]	Al Shakarchi J, Williams JG. Systematic review of open techniques for parastomal hernia repair[J]. Tech Coloproctol, 2014, 18(5): 427-432.
[4]	Park JJ, Del Pino A, Orsay CP, et al. Stoma complications: the Cook County Hospital experience[J]. Dis Colon Rectum, 1999, 42(12): 1575-1580.
[5]	Nastro P, Knowles CH, McGrath A, et al. Complications of intestinal stomas[J]. Br J Surg, 2010, 97(12): 1885-1889.
[6]	Malik T, Lee MJ, Harikrishnan AB. The incidence of stoma related morbidity-a systematic review of randomised controlled trials[J]. Ann R Coll Surg Engl, 2018, 100(7): 501-508.
[7]	朱乐乐，王飞通，刘星, 等. 造口旁疝的诊治现状及展望[J/OL]. 中华疝和腹壁外科杂志(电子版), 2018, 12(1): 10-13.
[8]	Carne PW, Robertson GM, Frizelle FA. Parastomal hernia[J]. Br J Surg, 2003, 90(7): 784-793.
[9]	Antoniou SA, Agresta F, Garcia Alamino JM, et al. European Hernia Society guidelines on prevention and treatment of parastomal hernias[J]. Hernia, 2018, 22(1): 183-198.
[10]	傅晓键，姚琪远. 2017年《欧洲疝学会造口旁疝治疗指南》解读[J]. 中华胃肠外科杂志, 2018, 21(7): 744-748.
[11]	Narang SK, Alam NN, Campain NJ, et al. Parastomal hernia following cystectomy and ileal conduit urinary diversion: a systematic review[J]. Hernia, 2017, 21(2): 163-175.
[12]	王平，黄永刚. 欧洲疝学会造口旁疝分型(2014年版)解读[J/OL]. 中华疝和腹壁外科杂志(电子版), 2017, 11(5): 321-323.
[13]	Smietanski M, Szczepkowski M, Alexandre JA, et al. European Hernia Society classification of parastomal hernias[J]. Hernia, 2014, 18(1): 1-6.
[14]	Sohn YJ, Moon SM, Shin US, et al. Incidence and risk factors of parastomal hernia[J]. J Korean Soc Coloproctol, 2012, 28(5): 241-246.
[15]	Stylinski R, Alzubedi A, Rudzki S. Parastomal hernia-current knowledge and treatment[J]. Wideochir Inne Tech Maloinwazyjne, 2018, 13(1): 1-8.
[16]	沈奇伟，姚琪远. 造口旁疝的病因及其预防[J/OL]. 中华疝和腹壁外科杂志(电子版), 2013, 7(6): 521-523.
[17]	De Raet J, Delvaux G, Haentjens P, et al. Waist circumference is an independent risk factor for the development of parastomal hernia after permanent colostomy[J]. Dis Colon Rectum, 2008, 51(12): 1806-1809.
[18]	Ahn BK. Risk factors for incisional hernia and parastomal hernia after colorectal surgery[J]. J Korean Soc Coloproctol, 2012, 28(6): 280-281.
[19]	Lee J, Morris O. Stoma complications: a case of cooperation[J]. Br J Community Nurs, 2003, 8(7): 302-306.
[20]	Del Pino A, Cintron JR, Orsay CP, et al. Enterostomal complications: are emergently created enterostomas at greater risk?[J]. Am Surg, 1997, 63(7): 653-656.
[21]	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.
[22]	Nguyen MH, Pittas F. How large should a skin trephine be for an end stoma?[J]. Aust N Z J Surg, 1999, 69(9): 675-676.
[23]	Kroese LF, de Smet GH, Jeekel J, et al. Systematic Review and Meta-Analysis of Extraperitoneal Versus Transperitoneal Colostomy for Preventing Parastomal Hernia[J]. Dis Colon Rectum, 2016, 59(7): 688-695.
[24]	Strigard K, Gurmu A, Nasvall P, et al. Intrastomal 3D ultrasound; an inter-and intra-observer evaluation[J]. Int J Colorectal Dis, 2013, 28(1): 43-47.
[25]	Nasvall P, Wikner F, Gunnarsson U, et al. A comparison between intrastomal 3D ultrasonography, CT scanning and findings at surgery in patients with stomal complaints[J]. Int J Colorectal Dis, 2014, 29(10): 1263-1266.
[26]	Kroese LF, Lambrichts DPV, Jeekel J, et al. Non-operative treatment as a strategy for patients with parastomal hernia: a multicentre, retrospective cohort study[J]. Colorectal Dis, 2018, 20(6): 545-551.
[27]	Hansson BM, Slater NJ, van der Velden AS, et al. Surgical techniques for parastomal hernia repair: a systematic review of the literature[J]. Ann Surg, 2012, 255(4): 685-695.
[28]	Bewes PC. Parastomal hernia[J]. Ann R Coll Surg Engl, 1997, 79(2): 154-155.
[29]	Aquina CT, Iannuzzi JC, Probst CP, et al. Parastomal hernia: a growing problem with new solutions[J]. Dig Surg, 2014, 31(4-5): 366-376.
[30]	Rubin MS, Schoetz DJ Jr, Matthews JB. Parastomal hernia. Is stoma relocation superior to fascial repair? [J]. Arch Surg, 1994, 129(4): 413-418; discussion 418-419.
[31]	Allen-Mersh TG, Thomson JP. Surgical treatment of colostomy complications[J]. Br J Surg, 1988, 75(5): 416-418.
[32]	Cheung MT, Chia NH, Chiu WY. Surgical treatment of parastomal hernia complicating sigmoid colostomies[J]. Dis Colon Rectum, 2001, 44(2): 266-270.
[33]	Hopkins TB, Trento A. Parastomal ileal loop hernia repair with marlex mesh[J]. J Urol, 1982, 128(4): 811-812.
[34]	Klinge U, Si ZY, Zheng H, et al. Abnormal collagenⅠto Ⅲ distribution in the skin of patients with incisional hernia[J]. Eur Surg Res, 2000, 32(1): 43-48.
[35]	Skibinski R, Pasternak A, Szura M, et al. Parastomal Hernia--Contemporary Methods Of Treatment[J]. Pol Przegl Chir, 2015, 87(10): 531-537.
[36]	Tekkis PP, Kocher HM, Payne JG. Parastomal hernia repair: modified thorlakson technique, reinforced by polypropylene mesh[J]. Dis Colon Rectum, 1999, 42(11): 1505-1508.
[37]	Halm JA, de Wall LL, Steyerberg EW, et al. Intraperitoneal polypropylene mesh hernia repair complicates subsequent abdominal surgery[J]. World J Surg, 2007, 31(2): 423-429; discussion 430.
[38]	Hansson BM, Bleichrodt RP, de Hingh IH. Laparoscopic parastomal hernia repair using a keyhole technique results in a high recurrence rate[J]. Surg Endosc, 2009, 23(7): 1456-1459.
[39]	Bleichrodt RP, Simmermacher RK, van der Lei B, et al. Expanded polytetrafluoroethylene patch versus polypropylene mesh for the repair of contaminated defects of the abdominal wall[J]. Surg Gynecol Obstet, 1993, 176(1): 18-24.
[40]	Godazandeh G, Mortazian M. Laparoscopic Repair of Morgagni Hernia Using Polyvinylidene Fluoride(PVDF) Mesh[J]. Middle East J Dig Dis, 2012, 4(4): 232-235.
[41]	Rosen MJ, Krpata DM, Ermlich B, et al. A 5-year clinical experience with single-staged repairs of infected and contaminated abdominal wall defects utilizing biologic mesh[J]. Ann Surg, 2013, 257(6): 991-996.
[42]	Slater NJ, Hansson BM, Buyne OR, et al. Repair of parastomal hernias with biologic grafts: a systematic review[J]. J Gastrointest Surg, 2011, 15(7): 1252-1258.
[43]	Peppas G, Gkegkes ID, Makris MC, et al. Biological mesh in hernia repair, abdominal wall defects, and reconstruction and treatment of pelvic organ prolapse: a review of the clinical evidence[J]. Am Surg, 2010, 76(11): 1290-1299.
[44]	Gillern S, Bleier JI. Parastomal hernia repair and reinforcement: the role of biologic and synthetic materials[J]. Clin Colon Rectal Surg, 2014, 27(4): 162-171.
[45]	Hansson BM, de Hingh IH, Bleichrodt RP. Laparoscopic parastomal hernia repair is feasible and safe: early results of a prospective clinical study including 55 consecutive patients[J]. Surg Endosc, 2007, 21(6): 989-993.
[46]	Sugarbaker PH. Peritoneal approach to prosthetic mesh repair of paraostomy hernias[J]. Ann Surg, 1985, 201(3): 344-346.
[47]	Voitk A. Simple technique for laparoscopic paracolostomy hernia repair[J]. Dis Colon Rectum, 2000, 43(10): 1451-1453.
[48]	Yang X, He K, Hua R, et al. Laparoscopic repair of parastomal hernia[J]. Ann Transl Med, 2017, 5(3): 45.
[49]	DeAsis FJ, Linn JG, Lapin B, et al. Modified laparoscopic Sugarbaker repair decreases recurrence rates of parastomal hernia[J]. Surgery, 2015, 158(4): 954-959; discussion 959-961.
[50]	Berger D, Bientzle M. Polyvinylidene fluoride: a suitable mesh material for laparoscopic incisional and parastomal hernia repair! A prospective, observational study with 344 patients[J]. Hernia, 2009, 13(2): 167-172.
[51]	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.
[52]	Broker M, Verdaasdonk E, Karsten T. Components separation technique combined with a double-mesh repair for large midline incisional hernia repair[J]. World J Surg, 2011, 35(11): 2399-2402.
[53]	Pauli EM, Juza RM, Winder JS. How I do it: novel parastomal herniorrhaphy utilizing transversus abdominis release[J]. Hernia, 2016, 20(4): 547-552.
[54]	Prabhu AS, Dickens EO, Copper CM, et al. Laparoscopic vs Robotic Intraperitoneal Mesh Repair for Incisional Hernia: An Americas Hernia Society Quality Collaborative Analysis[J]. J Am Coll Surg, 2017, 225(2): 285-293.
[55]	Bayer I, Kyzer S, Chaimoff C. A new approach to primary strengthening of colostomy with Marlex mesh to prevent paracolostomy hernia[J]. Surg Gynecol Obstet, 1986, 163(6): 579-580.
[56]	Pianka F, Probst P, Keller AV, et al. Prophylactic mesh placement for the PREvention of paraSTOmal hernias: The PRESTO systematic review and meta-analysis[J]. PLoS One, 2017, 12(2): e0171548.
[57]	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.
[58]	张俊松，吴立胜. 末端结肠终末造口预防性放置补片的最新进展[J]. 世界华人消化杂志, 2018, 26(24): 1470-1477.

分型	Devlin	Rubin	Moreno-Matias	Gil和Szczepkowski
0型			伴随肠壁的腹膜构成造口，未形成疝囊
Ⅰ型	腹壁间位疝	真性造口旁疝Ia：腹壁间位Ib：皮下	Ia：结肠造口形成疝囊<5 cm	孤立小造口旁疝
Ⅰ型	腹壁间位疝	真性造口旁疝Ia：腹壁间位Ib：皮下	Ib：结肠造口形成疝囊>5 cm	孤立小造口旁疝
Ⅱ型	皮下疝	腹壁间位疝	大网膜疝入疝囊	小造口旁疝合并中线切口疝(没有明显的前腹壁畸形)
Ⅲ型	造口内疝	皮下脱垂	伴有造口肠管以外的肠袢	孤立的大造口旁疝(合并前腹壁明显畸形)
Ⅳ型	造口旁疝(造口脱垂)	假疝(与侧腹壁功能不全或去神经支配有关)		较大的造口旁疝伴中线切口疝(合并前腹壁明显畸形)

分型	Devlin	Rubin	Moreno-Matias	Gil和Szczepkowski
0型			伴随肠壁的腹膜构成造口，未形成疝囊
Ⅰ型	腹壁间位疝	真性造口旁疝Ia：腹壁间位Ib：皮下	Ia：结肠造口形成疝囊<5 cm	孤立小造口旁疝
Ⅰ型	腹壁间位疝	真性造口旁疝Ia：腹壁间位Ib：皮下	Ib：结肠造口形成疝囊>5 cm	孤立小造口旁疝
Ⅱ型	皮下疝	腹壁间位疝	大网膜疝入疝囊	小造口旁疝合并中线切口疝(没有明显的前腹壁畸形)
Ⅲ型	造口内疝	皮下脱垂	伴有造口肠管以外的肠袢	孤立的大造口旁疝(合并前腹壁明显畸形)
Ⅳ型	造口旁疝(造口脱垂)	假疝(与侧腹壁功能不全或去神经支配有关)		较大的造口旁疝伴中线切口疝(合并前腹壁明显畸形)

分型		缺损≤5 cm	缺损>5 cm
合并切口疝	无	Ⅰ型	Ⅲ型
合并切口疝	有	Ⅱ型	Ⅳ型
		初发疝□	复发疝□

分型		缺损≤5 cm	缺损>5 cm
合并切口疝	无	Ⅰ型	Ⅲ型
合并切口疝	有	Ⅱ型	Ⅳ型
		初发疝□	复发疝□

Please choose a citation manager

Content to export