title: Prevention of hernia after enterostomy.
abstract: Enterostomies are usually well tolerated if they function optimally. A common problem is a hernia at the enterostomy site. Separation of the lateral aspect of the enterostomy tunnel from the seromuscular layer of the intestine permits a space to occur. With time, intra-abdominal pressure gradually enlarges this space to bring about the hernia. To prevent a hernia from developing after an enterostomy, a new principle of enterostomy construction is demonstrated. After proper positioning of the intestine within the tunnel, it is returned to the abdomen to allow accurate placement of sutures. These sutures bring together the lateral aspect of the tunnel and the remote side of the intestine. If no space is allowed, no hernia will occur.
authors.affiliation: Cancer Institute, Washington Hospital Center, District of Columbia 20010.
authors.forename: P H
authors.initials: PH
authors.lastname: Sugarbaker
mesh_terms: D004766:Enterostomy / Q000009:adverse effects / Q000379:methods*; D006547:Hernia / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D007410:Intestinal Diseases / Q000209:etiology / Q000517:prevention & control*