[Para-stomal hernia--technique and results].
Parastomal hernias are a frequent long-term complication after stomal construction. Operative therapy is only indicated in 10% of the cases. Indication for operation are symptomatic hernias. Local fascial repair has due to the high recurrence rate (80%) no longer any indication. After stomal relocation recurrent parastomal hernias are observed in 40% and incisional hernias in 20-30% of the cases. Prosthetic mesh repair has a low recurrence rate (8%) and an acceptable infection rate (9%). Thus, mesh repair is nowadays the procedure of choice for the treatment of parastomal hernias.
Köhler
L
L
II. Lehrstuhl für Chirurgie der Universität zu Köln, Städtisches Krankenhaus Köln-Merheim.
D003125:Colostomy; D000071938:Fasciotomy; D006555:Hernia, Ventral / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007081:Ileostomy; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation; D012307:Risk Factors; D013526:Surgical Mesh; D013530:Surgical Wound Infection / Q000209:etiology / Q000601:surgery