European Hernia Society guidelines on prevention and treatment of parastomal hernias

被引：346

作者：

Antoniou, S. A. ^{[1
]}

Agresta, F. ^{[2
]}

Alamino, J. M. Garcia ^{[3
]}

Berger, D. ^{[4
]}

Berrevoet, F. ^{[5
]}

Brandsma, H-T ^{[6
]}

Bury, K. ^{[7
]}

Conze, J. ^{[8
,9
,10
]}

Cuccurullo, D. ^{[11
]}

Dietz, U. A. ^{[12
]}

Fortelny, R. H. ^{[13
]}

Frei-Lanter, C. ^{[14
]}

Hansson, B. ^{[15
]}

Helgstrand, F. ^{[16
]}

Hotouras, A. ^{[17
]}

Janes, A. ^{[18
]}

Kroese, L. F. ^{[19
]}

Lambrecht, J. R. ^{[20
]}

Kyle-Leinhase, I. ^{[21
]}

Lopez-Cano, M. ^{[22
]}

Maggiori, L. ^{[23
]}

Mandala, V. ^{[24
]}

Miserez, M. ^{[25
]}

Montgomery, A. ^{[26
]}

Morales-Conde, S. ^{[27
]}

Prudhomme, M. ^{[28
]}

Rautio, T. ^{[29
]}

Smart, N. ^{[30
]}

Smietanski, M. ^{[31
,32
,33
]}

Szczepkowski, M. ^{[34
,35
]}

Stabilini, C. ^{[36
]}

Muysoms, F. E. ^{[21
]}

机构：

[1] Univ Hosp Herak, Dept Gen Surg, Iraklion, Greece

[2] ULSS19 Veneto, Dept Gen Surg, Adria, RO, Italy

[3] Univ Oxford, Nuffield Dept Primary Care Hlth Sci, Oxford, Oxon, England

[4] Klinikum Mittelbaden Balg, Clin Abdominal Thorac & Pediat Surg, Baden Baden, Germany

[5] Ghent Univ Hosp, Dept Gen & HPB Surg & Liver Transplantat, Ghent, Belgium

[6] Western Gen Hosp, Dept Colorectal Surg, Edinburgh, Midlothian, Scotland

[7] Med Univ Gdansk, Dept Cardiac & Vasc Surg, Gdansk, Poland

[8] Herniactr Dr Muschaweck Dr Conze, Munich, Germany

[9] Herniactr Dr Muschaweck Dr Conze, London, England

[10] Rhein Westfal TH Aachen, Univ Hosp, Dept Gen Visceral & Transplant Surg, Aachen, Germany

[11] Azienda Osped Colli, Dept Gen Laparoscop & Robot Surg, Osped Monaldi, Naples, Italy

[12] Univ Hosp Wuerzburg, Dept Gen Visceral Vasc & Pediat Surg, Wurzburg, Germany

[13] Wilhelminenspital Stadt Wien, Certified Hernia Ctr, Dept Gen Visceral & Oncol Surg, Vienna, Austria

[14] Kantonsspital Winterthur, Dept Surg, Winterthur, Switzerland

[15] Canisius Wilhelmina Hosp, Dept Surg, Nijmegen, Netherlands

[16] Zealand Univ Hosp, Dept Surg, Koge, Denmark

[17] Royal London Hosp, Natl Bowel Res Ctr, London, England

[18] Sundsvall Hosp, Dept Surg, Sundsvall, Sweden

[19] Erasmus Univ, Dept Surg, Med Ctr, Rotterdam, Netherlands

[20] Innlandet Hosp Trust, Dept Surg, Gjovik, Norway

[21] Maria Middelares Hosp, Dept Surg, Ghent, Belgium

[22] Univ Autonoma Barcelona, Abdominal Wall Surg Unit, Dept Gen Surg, Hosp Univ Vall dHebron, Barcelona, Spain

[23] Univ Paris 07, Beaujon Hosp, AP HP, Dept Colorectal Surg, Paris, France

[24] Buccheri La Ferla Hosp, Dept Gen Surg, Palermo, Italy

[25] Univ Hosp Leuven, Dept Abdominal Surg, Leuven, Belgium

[26] Skane Univ Hosp, Dept Surg, Malmo, Sweden

[27] Univ Hosp Virgen del Rocio, Seville, Spain

[28] CHU Nimes, Dept Digest Surg, Nimes, France

[29] Oulu Univ Hosp, Div Gastroenterol, Dept Surg, Med Res Ctr, Oulu, Finland

[30] Royal Devon & Exeter Hosp, Exeter Surg Hlth Serv Res Unit HeSRU, Exeter, Devon, England

[31] Med Univ Gdansk, Dept Radiol 2, Gdansk, Poland

[32] Dist Hosp Puck, Dept Gen Surg, Puck, Poland

[33] Dist Hosp Puck, Hernia Ctr, Puck, Poland

[34] Jozef Pisudski Univ Phys Educ Warsaw, Dept Rehabil, Warsaw, Poland

[35] Bielanski Hosp, Clin Dept Gen & Colorectal Surg, Warsaw, Poland

[36] Univ Genoa, Dept Surg, Genoa, Italy

来源：

HERNIA | 2018年 / 22卷 / 01期

关键词：

Parastomal hernia; Stoma; Ostomy; Prevention; Treatment; Recurrence; PERMANENT COLOSTOMY; PROPHYLACTIC MESH; RANDOMIZED-TRIAL; PROSTHETIC MESH; STOMA FORMATION; REPAIR; SURGERY; CLASSIFICATION; MULTICENTER; PLACEMENT;

D O I：

10.1007/s10029-017-1697-5

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

International guidelines on the prevention and treatment of parastomal hernias are lacking. The European Hernia Society therefore implemented a Clinical Practice Guideline development project. The guidelines development group consisted of general, hernia and colorectal surgeons, a biostatistician and a biologist, from 14 European countries. These guidelines conformed to the AGREE II standards and the GRADE methodology. The databases of MEDLINE, CINAHL, CENTRAL and the gray literature through OpenGrey were searched. Quality assessment was performed using Scottish Intercollegiate Guidelines Network checklists. The guidelines were presented at the 38th European Hernia Society Congress and each key question was evaluated in a consensus voting of congress participants. End colostomy is associated with a higher incidence of parastomal hernia, compared to other types of stomas. Clinical examination is necessary for the diagnosis of parastomal hernia, whereas computed tomography scan or ultrasonography may be performed in cases of diagnostic uncertainty. Currently available classifications are not validated; however, we suggest the use of the European Hernia Society classification for uniform research reporting. There is insufficient evidence on the policy of watchful waiting, the route and location of stoma construction, and the size of the aperture. The use of a prophylactic synthetic non-absorbable mesh upon construction of an end colostomy is strongly recommended. No such recommendation can be made for other types of stomas at present. It is strongly recommended to avoid performing a suture repair for elective parastomal hernia. So far, there is no sufficient comparative evidence on specific techniques, open or laparoscopic surgery and specific mesh types. However, a mesh without a hole is suggested in preference to a keyhole mesh when laparoscopic repair is performed. An evidence-based approach to the diagnosis and management of parastomal hernias reveals the lack of evidence on several topics, which need to be addressed by multicenter trials. Parastomal hernia prevention using a prophylactic mesh for end colostomies reduces parastomal herniation. Clinical outcomes should be audited and adverse events must be reported.

引用

页码：183 / 198

页数：16

共 53 条

[1] Systematic review of open techniques for parastomal hernia repair [J].