关键词: 造口旁疝, 流行病学, 诊断, 治疗

Abstract: Problems worthy of attention in the diagnosis and treatment of parastomal hernia        TANG Jian-xiong，GU Yan，LI Shao-chun. Department of General Surgery，Huadong Hospital Affiliated to Fudan University，Shanghai 200040，China
Corresponding author：TANG Jian-xiong，E-mail:johnxiong@
china.com
Abstract    parastomal hernia is one of the thorny diseases in the field of hernia and abdominal wall surgery. At present, the epidemiological data of parastomal hernia in China are still incomplete. The incidence of parastomal hernia in China was estimated and analyzed by querying the epidemiological data of colorectal tumors and the data of several large colorectal surgical centers in China. Although the number of patients receiving permanent stoma is relatively small in China, the incidence of parastomal hernia is very high, up to >80%. Parastomal hernia repair is also complicated. There are many factors that affect the effect of surgery. The therapeutic effect is not ideal. The postoperative recurrence rate is relatively high, and even after a period of time, patients will have serious complications. Therefore, it is still recommended to strictly master the surgical indications. At the same time, we should give full play to the advantages of laparoscopic technology, and the effect of sugarbaker operation is relatively better in a variety of operation methods. In addition, with the continuous improvement of mesh materials, the mesh repair of prophylactic parastomal hernia will have a good clinical application prospect.

Key words: parastomal hernia, epidemiology, diagnosis, treatment