Strangulated ileostomy evisceration following lateralizing mesh repair of parastomal hernia

被引：6

作者：

Ramly, E. P. ^{[1
]}

Crosslin, T. ^{[1
]}

Orkin, B. ^{[2
]}

Popowich, D. ^{[3
]}

机构：

[1] Tufts Med Ctr, Div Colon & Rectal Surg, Boston, MA USA

[2] Rush Univ, Med Ctr, Chicago, IL 60612 USA

[3] Mt Sinai Hosp, Div Colon & Rectal Surg, New York, NY 10029 USA

来源：

HERNIA | 2016年 / 20卷 / 02期

关键词：

Parastomal hernia; Intraperitoneal mesh repair; Ileostomy; Colostomy; Stoma-evisceration; OF-THE-LITERATURE; PROSTHETIC MESH; CONTAMINATED WOUNDS; POLYPROPYLENE MESH; PROPHYLACTIC MESH; STOMA FORMATION; PREVENTION; EFFICACY; SAFETY; TRIAL;

D O I：

10.1007/s10029-014-1259-z

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Parastomal hernia formation and ostomy prolapse are relatively common complications of intestinal ostomy construction. Underlay mesh placement with lateralization of the stoma limb appears to be the method of repair with the lowest recurrence rate. Prophylaxis of new stomas with mesh is advocated by many authors. We report the case of an 81-year-old man with chronic steroid-dependent COPD who presented to the emergency department with strangulated small bowel evisceration 9 days following completion abdominal colectomy, and creation of an end ileostomy reinforced with intraperitoneal mesh. This rare complication was related to this patient's risk factors for poor healing including poor nutrition, age, chronic COPD and coughing and steroid dependence with immunosuppression.

引用

页码：327 / 330

页数：4

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