Enterostomy Site Hernias: A Clinical and Computerized Tomographic Evaluation
Tóm tắt
Parastomal hernia continues to be an important clinical problem with a reported incidence of up to 50 percent. In studies using computerized tomography in selected cases for detection of parastomal hernia, physical examination alone was underestimating the true incidence. Also after closure of the enterostomy, the ostomy site could still be a potential area of herniation. In this study in addition to physical examination, we used computerized tomography to determine the true incidence of parastomal hernia and ostomy closure site hernias. We examined patients with enterostomies and with closed enterostomy sites both with physical examination and computerized tomography for the detection of hernias, hernia content, and relation to rectus muscles. Risk factors for hernia formation, such as age, gender, body mass index, associated medical problems, and surgical site infections, were determined. Evaluation of 23 patients with ostomies resulted in 52 percent incidence of parastomal hernia, whereas the addition of tomography examination gave a corrected incidence of 78 percent. In a second subset of 23 patients with closed ostomies, although 26 percent of the patients were found to have ostomy site hernias with physical examination alone, this incidence increased to 48 percent when combined with computerized tomography. The potential risk factors for hernia formation, such as body mass index, surgical site infection, and ostomy site whether pararectus or transrectus, were not proven to have a significant role in this study. Parastomal hernia and closed ostomy site incisional hernias have a high incidence, and computerized tomography has been shown to be a valuable diagnostic tool.
Tài liệu tham khảo
LA Israelsson (2005) ArticleTitlePreventing and treating parastomal hernia World J Surg 29 1086–1089 Occurrence Handle15981038 Occurrence Handle10.1007/s00268-005-7973-z
MS Hoffman DP Barton J Gates et al. (1992) ArticleTitleComplications of colostomy performed on gynecologic cancer patients Gynecol Oncol 44 231–234 Occurrence Handle1541434 Occurrence Handle1:STN:280:By2C2srmtFM%3D Occurrence Handle10.1016/0090-8258(92)90048-N
A Janes Y Cengiz LA Israelsson (2004) ArticleTitlePreventing parastomal hernia with a prosthetic mesh Arch Surg 139 1356–1358 Occurrence Handle15613293 Occurrence Handle10.1001/archsurg.139.12.1356
EE Londono-Schimmer AP Leong RK Phillips (1994) ArticleTitleLife table analysis of stomal complications following colostomy Dis Colon Rectum 37 916–920 Occurrence Handle8076492 Occurrence Handle1:STN:280:ByuA2MjgsVc%3D Occurrence Handle10.1007/BF02052598
H Ortiz MJ Sara P Armendariz et al. (1994) ArticleTitleDoes the frequency of paracolostomy hernias depend on the position of the colostomy in the abdominal wall? Int J Colorectal Dis 9 65–67 Occurrence Handle8064191 Occurrence Handle1:STN:280:ByuA2c3nvVM%3D Occurrence Handle10.1007/BF00699414
JG Williams R Etherington MW Hayward et al. (1990) ArticleTitleParaileostomy hernia: a clinical and radiological study Br J Surg 77 1355–1357 Occurrence Handle2276017 Occurrence Handle1:STN:280:By6C3Mzotlc%3D
R Sjodahl B Anderberg T Bolin (1988) ArticleTitleParastomal hernia in relation to site of the abdominal stoma Br J Surg 75 339–341 Occurrence Handle2965951 Occurrence Handle1:STN:280:BieC1MzmsFE%3D
PW Carne GM Robertson FA Frizelle (2003) ArticleTitleParastomal hernia Br J Surg 90 784–793 Occurrence Handle12854101 Occurrence Handle1:STN:280:DC%2BD3szitlGrsg%3D%3D Occurrence Handle10.1002/bjs.4220
R Kasperk S Willis U Klinge et al. (2002) ArticleTitleUpdate on incisional hernia. Parastomal hernia [in German] Chirurg 73 895–898 Occurrence Handle12297954 Occurrence Handle1:STN:280:DC%2BD38vos1Glsg%3D%3D Occurrence Handle10.1007/s00104-002-0533-2
N Rieger J Moore P Hewett et al. (2004) ArticleTitleParastomal hernia repair Colorectal Dis 6 203–205 Occurrence Handle15109388 Occurrence Handle1:STN:280:DC%2BD2c3ht1OgtQ%3D%3D Occurrence Handle10.1111/j.1463-1318.2004.00587.x
MS Rubin DJ Schoetz SuffixJr JB Mathews (1994) ArticleTitleParastomal hernia. Is stoma relocation superior to fascial repair? Arch Surg 129 413–418 Occurrence Handle8154967 Occurrence Handle1:STN:280:ByuB3cnhvFE%3D
TJ Saclarides A Hsu R Quiros (2004) ArticleTitleIn situ mesh repair of parastomal hernias Am Surg 70 701–705 Occurrence Handle15328804
R Kasperk U Klinge V Schumpelick (2000) ArticleTitleThe repair of large parastomal hernias using a midline approach and a prosthetic mesh in the sublay position Am J Surg 179 186–188 Occurrence Handle10827315 Occurrence Handle1:STN:280:DC%2BD3c3oslaqtQ%3D%3D Occurrence Handle10.1016/S0002-9610(00)00309-3
A Martinez-Munive O Medina-Ramirez Llaca F Quijano-Orvananos et al. (2000) ArticleTitleIntraparietal mesh repair for parastomal hernias Hernia 4 272–274 Occurrence Handle10.1007/BF01201082
AJ Aldridge JN Simson (2001) ArticleTitleErosion and perforation of colon by synthetic mesh in a recurrent paracolostomy hernia Hernia 5 110–112 Occurrence Handle11505648 Occurrence Handle1:STN:280:DC%2BD3MvmtFertQ%3D%3D Occurrence Handle10.1007/BF01576168
KA LeBlanc DE Bellanger JM Whitaker et al. (2005) ArticleTitleLaparoscopic parastomal hernia repair Hernia 9 140–144 Occurrence Handle15602627 Occurrence Handle1:STN:280:DC%2BD2M3jsFWmtA%3D%3D Occurrence Handle10.1007/s10029-004-0295-5
S Pekmezci K Memisoglu T Karahasanoglu et al. (2002) ArticleTitleLaparoscopic giant parastomal hernia repair with prosthetic mesh Tech Coloproctol 6 187–190 Occurrence Handle12525914 Occurrence Handle1:STN:280:DC%2BD3s%2FhvFChtw%3D%3D Occurrence Handle10.1007/s101510200041
VJ Hesselink RW Luijendik JH Wilt ParticleDe et al. (1993) ArticleTitleAn evaluation of risk factors in incisional hernia recurrence Surg Gynecol Obstet 176 228–234 Occurrence Handle8438193 Occurrence Handle1:STN:280:ByyC2svjs1U%3D
FT Linden Particlevan der TJ Vroonhoven Particlevan (1998) ArticleTitleLong-term results after surgical correction of incisional hernia Neth J Surg 40 127–129