开放式肠造口旁疝手术修补法40例分析

目的 分析开放式肠造口旁疝的手术修补方法存在的问题.方法 对2002年6月至2007年6月30例肠造口旁疝患者的手术方式、术后并发症、住院时间、复发情况进行回顾分析.结果 原位腹腔内造口疝修补术和移位造口疝修补术各有1例复发.移位造口疝修补术后有1例皮下积液.原位腹膜前造口疝修补术有2例伤口愈合不良.未发生肠坏死及肠梗阻等术后并发症.原位腹腔内和腹膜前造口疝修补术后住院时间10～14 d,移位造口疝修补术后住院时间18～21 d.结论 肠造口旁疝修补术的方法还有待进一步改进.

Open repair for parastomal hernia: report of 40 cases

Objective To study different procedures of open hernia repair for parastomal hernias. Methods We retrospetively analysed 30 patients with parastomal hernia who had been treated by open hernia repair at our hospital from june 2002 to june 2007. Operative methods, post-operative complications, post-operative hospitalization, and recurrence of hernia were studied. Results No-relocation intraperitonialention parastomal hernia repair has one recurrence. Relocated intraperitonial parastomal hernia repair was performed in one patient. Relocated intraperitonial parastomal hernia repair was done in one patient with seroma. No relocated intraperitonial parastomal hernia repair was done in two patients with delayed incision, nor intestinal erosion and obstruction. Hospital stay after operation with no-relocation intraperitonial parastomal hernia repair was 10～14 days. Hospitalization after operation with relocation intraperitonial parastomal hernia repair was18～21 days. Conclusion The results of hernia repair for parastomal hernias are promising.