Book chapter
Parastomal Hernia: An Ounce of Prevention
Current Common Dilemmas in Colorectal Surgery, pp.241-250
Springer International Publishing
02/21/2018
DOI: 10.1007/978-3-319-70117-2_22
Abstract
Parastomal hernia is a common consequence of creating an intestinal stoma. Though many patients with parastomal hernias are asymptomatic, complications from a parastomal hernia (PSH) can be life threatening. Parastomal hernia negatively impacts patient psychological well-being and quality of life and increases healthcare utilization. Numerous methods of PSH repair have been proposed and practiced, but recurrence after surgery remains common; therefore attention to PSH prevention has been a topic of interest in recent years. While many technical aspects of stoma creation are taught as surgical dogma, the two preventative techniques with the best evidence are the creation of an extraperitoneal stoma and the reinforcement of the fascial opening using prophylactic mesh. Despite increasing evidence supporting the efficacy of prophylactic mesh in the prevention of parastomal herniation, this technique has been slow to be adopted into current practice.
Details
- Title: Subtitle
- Parastomal Hernia: An Ounce of Prevention
- Creators
- Kristina L. Guyton - University of ChicagoNeil H. Hyman - University of Chicago
- Resource Type
- Book chapter
- Publication Details
- Current Common Dilemmas in Colorectal Surgery, pp.241-250
- Publisher
- Springer International Publishing; Cham
- DOI
- 10.1007/978-3-319-70117-2_22
- Language
- English
- Date published
- 02/21/2018
- Academic Unit
- Surgery
- Record Identifier
- 9984322780702771
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