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2018 ; 13
(1
): 1-8
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Parastomal hernia - current knowledge and treatment
#MMPMID29643952
Styli?ski R
; Alzubedi A
; Rudzki S
Wideochir Inne Tech Maloinwazyjne
2018[Mar]; 13
(1
): 1-8
PMID29643952
show ga
Intestinal stoma creation is one of the most common surgical procedures. The most
common long-term complication following stoma creation is parastomal hernia,
which according to some authors is practically unavoidable. Statistical
differences of its occurrence are mainly due to patient observation time and
evaluation criteria. Consequently, primary prevention methods such as placement
of prosthetic mesh and newly developed minimally invasive methods of stoma
creation are used. It seems that in the light of evidence-based medicine, the
best way to treat parastomal hernia is the one that the surgeon undertaking
therapy is the most experienced in and is suited to the individuality of each
patient, his condition and comorbidities. As a general rule, reinforcing the
abdominal wall with a prosthetic mesh is the treatment of choice, with a low rate
of complications and relapses over a long period of time. The current trend is to
use lightweight, large pore meshes.