Clin Colon Rectal Surg 2016; 29(03): 277-284
DOI: 10.1055/s-0036-1584506
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Parastomal Hernia: Avoidance and Treatment in the 21st Century

Sean C. Glasgow
1   Department of Surgery, Washington University School of Medicine, St. Louis, Missouri
2   USAF Center for the Sustainment of Trauma and Resuscitative Skills (C-STARS), St. Louis, Missouri
,
Sekhar Dharmarajan
1   Department of Surgery, Washington University School of Medicine, St. Louis, Missouri
3   John Cochrane VA Medical Center, St. Louis, Missouri
› Institutsangaben
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Publikationsdatum:
19. August 2016 (online)

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Abstract

Despite medical and surgical advances leading to increased ability to restore or preserve gastrointestinal continuity, creation of stomas remains a common surgical procedure. Every ostomy results in a risk for subsequent parastomal herniation, which in turn may reduce quality of life and increase health care expenditures. Recent evidence-supported practices such as utilization of prophylactic reinforcement, attention to stoma placement, and laparoscopic-based stoma repairs with mesh provide opportunities to both prevent and successfully treat parastomal hernias.