A clinical comparative study of Keyhole with re-ostomy and without re-ostomy in the treatment of laparoscopic parastomal hernia repair for stoma hernia
10.3760/cma.j.issn.1007-631X.2017.12.002
- VernacularTitle:腹腔镜造口旁疝造口重建下Keyhole修补与非重建下Keyhole修补的临床对照研究
- Author:
Yiping LU
1
;
Jinsheng YE
;
Miao YU
;
Zhijian HE
;
Yankai LIANG
;
Honghai ZHANG
;
Xiaofei WANG
;
Jianxin GAO
Author Information
1. 首都医科大学附属北京中医医院肿瘤外科
- Keywords:
Ostomy;
Hernia,abdominal;
Keyhole procedures
- From:
Chinese Journal of General Surgery
2017;32(12):992-996
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare laparoscopic Keyhole parastomal hernia repair with re-ostomy technique or without re-ostomy in the treatment of stoma hernia,then analyze the advantages of reconstruction ostomy,and summarize the key technical points of the reconstruction operation.Methods From Jan 2010 to Dec 2016,68 stoma hernia patients underwent laparoscopic Keyhole parastomal hernia repair with reostomy technique,52 patients underwent laparoscopic Keyhole parastomal hernia repair without re-ostomy technique.The preoperative,intraoperative and postoperative parameters were analyzed.Results Compared to without re-ostomy group,the re-ostomy reconstruction group had low incidence rate of intestinal fistula (x2 =5.411,P =0.033),patch infection (x2 =6.823,P =0.014),the incidence of postoperative serous swelling and serum swelling (x2 =14.266,P ＜0.001),postoperative recurrence (x2 =8.688,P =0.005) and postoperative appearance dissatisfaction (x2 =9.479,P =0.004).Conclusion Laparoscopic parastomal hernia repair and re-ostomy technique reduces the incidence rate of intestinal fistula,patch infection and serous swelling and serum swelling,decreases the postoperative recurrence rate and appearance dissatisfaction.
