Treatment of parenteric stoma hernia

  Enterostomy is a surgical procedure for treating intestinal obstruction or low-level colorectal cancer. Every year, more than 100,000 people in China need to undergo enterostomy surgery due to colon or rectal tumors or trauma, ulcerative colitis, Crohn’s disease, etc. At present, the cumulative number of patients with stoma in China is about 1 million. In addition to the inconvenience caused by the stoma, some complications may occur, such as bleeding, necrosis, stenosis and retraction of the stoma, which makes the abdominal stoma, which was originally feared, even more disgusting and has a serious impact on the quality of life of patients. Parastomal hernia is the most common complication of long-term stoma, the incidence of which is about 10%-25%, and in sigmoid stoma the incidence can be as high as 30%-50%, manifesting as a protruding subcutaneous mass on the abdominal wall next to the stoma and gradually increasing in size, affecting the function of the stoma or the sealing of the stoma bag, and for recurrent abdominal pain, hernia impaction, defecation For patients with recurrent abdominal pain, hernia impaction, defecation difficulties, and large hernia sacs affecting the seal of the stoma bag and its appearance, surgical treatment is required, and parastomal hernia is one of the more difficult problems in the management of enterostomal complications. Open surgery is highly invasive, direct suture repair has a high recurrence rate, stoma shift incisional hernia has a high incidence and the possibility of new parastomal hernia, and open patch repair reduces recurrence rate but has contamination leading to surgical failure. Laparoscopic surgery is currently a trend in the treatment of parastomal hernia, with the advantages of less surgical trauma, less postoperative pain, faster recovery, no change in stoma location and lower recurrence rate, making it a better choice for the treatment of parastomal hernia.