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Journal Article
The clinical applications of D-type parastomal hernia repair surgery
2024
Overview
Objective
This study investigated the use of a modified laparoscopic repair of paraostomy hernia technique, called “D-Type parastomal hernia repair surgery” which combines abdominal wall and extraperitoneal stoma reconstruction, in patients with parastomal hernia (PSH) following colorectal stoma surgery. The aim was to determine whether D-type parastomal hernia repair surgery is a promising surgical approach compared to the traditional laparoscopic repair technique (Sugarbaker method) for patients with PSH.
Methods
PSH patients were selected and retrospectively divided into two groups: the study group underwent D-type parastomal hernia repair, while the control group underwent laparoscopic Sugarbaker repair. Clinical data from both groups were analyzed.
Result
Compared to control group (
n
= 68), the study group undergoing D-type stoma lateral hernia repair had significant increase in total operative time (98.82 ± 12.37 min vs 124.61 ± 34.99 min,
p
< 0.001). The study group also showed better postoperative stoma bowel function scores in sensory ability, frequency of bowel movements, and clothing cleanliness without a stoma bag (
p
= 0.037, 0.001, 0.002). The treatment cost was significantly higher in the control group (3899.97 ± 260.00$ vs 3215.91 ± 230.03$,
p
< 0.001). The postoperative recurrence rate in the control group was 26.4%, while in the study group, it was 4.3%, with a significant statistical difference (
p
= 0.024). In terms of long-term postoperative complications, the study group had an overall lower incidence compared to the control group (
p
= 0.035). Other parameters showed no significant differences between the two groups.
Conclusion
The study suggests that D-type parastomal hernia repair surgery is a safe and feasible procedure. Compared to traditional surgery, it can reduce the recurrence of lateral hernia, improve postoperative stoma bowel function, and save medical resources.
Publisher
Springer Paris,Springer Nature B.V
Subject
