Parastomal hernia.
Parastomal herniation is a common complication after stoma formation. The incidence can be reduced by using an extraperitoneal technique, limiting the size of the trephine to 1.5-2.0 cm or by strengthening with a mesh. If an intraperitoneal technique is used the intestine should be brought out through the rectus muscle. Generally, the symptoms are easily controlled with a support belt. Various techniques have been advocated for surgical repair. Fascial repair alone should no longer be performed owing to an unacceptably high recurrence rate, but should be combined with a prosthetic mesh. Relocation of the stoma should be performed for primary repairs.
Martin
L
L
Countess of Chester Hospital.
Foster
G
G
D004766:Enterostomy / Q000009:adverse effects* / Q000379:methods; D006547:Hernia / Q000209:etiology*; D059685:Herniorrhaphy; D006801:Humans; D013526:Surgical Mesh