Parastomal Hernia Is a Problem Yet to Be Solved

Mizrahi, Hagar; Geron, N.; Parker, Michael

doi:10.14740/jcs268w

Cited by 1 publication

(9 citation statements)

References 34 publications

(48 reference statements)

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“…As a rule, PSHs are typically diagnosed clinically by history and physical examination [2,4,15,18]. However, in case of doubt, imaging studies such as CT scan and US should be performed as an adjunct to clinical evaluation [2,4,10,12,18,19] (Figure 2).…”

Section: Clinical Features Diagnosis and Classiicationmentioning

confidence: 99%

“…However, in case of doubt, imaging studies such as CT scan and US should be performed as an adjunct to clinical evaluation [2,4,10,12,18,19] (Figure 2). Assessment of the patient in the upright and supine positions is important for an adequate physical examination.…”

Section: Clinical Features Diagnosis and Classiicationmentioning

confidence: 99%

“…Although these classiication systems may be useful in academic research, there is litle requirement for them in clinical practice because assessment, management, and diagnosis are usually based on symptoms and clinical examination. More recently, the European Hernia Society assembled to review the existing classiication systems and expanded upon the deinitions proposed by Gil and Szczepkowski to include a size cutof of 5 cm; however, this new system has not yet been validated as a clinical tool [8,18,19,[21][22][23][24].…”

Section: Clinical Features Diagnosis and Classiicationmentioning

confidence: 99%

“…• Parastomal Hernia http://dx.doi.org/10.5772/intechopen.68876objects, weight loss, diet changes, and abdominal exercises to strengthen the abdominal muscle, are successful strategies for conservative management of PSHs [2,15,18,26]. Unfortunately, despite all atempts, one-third of all patients with PSH require surgical repair [15,17,[27][28][29].…”

Section: Author and Yearmentioning

confidence: 99%

“…Other indications are relative and include failure of conservative measures, chronic abdominal pain related to the PSH, ulceration of the surrounding skin, and dissatisfaction with the aesthetic appearance [18]. For repair, there is no single technique that is superior to another [1,6,31].…”

Section: Surgical Treatmentmentioning

confidence: 99%

See 4 more Smart Citations

Parastomal Hernia

Çelik¹,

Kocaay²,

Akyol³

2017

Hernia

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Parastomal hernia (PSH) is a type of incisional hernia deined as a protrusion of abdominal contents through a weakness in the abdominal wall. PSH is the most common and signiicant complication following enterostomy construction, with an incidence of 30-50%. The risk is higher in colostomies than in ileostomies. Diagnosis of PSH is based on clinical examination or imaging. Most patients with PSH are usually asymptomatic. On the other hand, PSHs may afect an individual's physical function and decrease their quality of life. Surgical repair is indicated in 10-30% of patients with PSH. For repair, no single technique is superior to another. Therefore, several surgical methods have been developed and atempted, including primary repair, stoma relocation, and repair with diferent types of mesh either via the open or laparoscopic approach. However, high recurrence rates have been reported after repair. Because this is a diicult and problematic entity, the prevention of PSH occurrence is clearly the most appropriate management approach.

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