当肠道的一部分通过造口伸出时，就会发生parastomal疝气。造口是您胃，小肠或结肠的外科手术开口，可让您将废物传递到袋子中。当患者遇到胃肠道问题以防止他们患有正常的排便时，有时需要这一点。
Up to78％手术后的人会出现副疝stoma, usually within 2 years of surgery.
In many cases, parastomal hernias are treatable with lifestyle changes, like losing weight or quitting smoking. Wearing an abdominal support belt can also help ease symptoms.
But some parastomal hernias are severe enough to need surgical repair.
这re are several surgical repair options for a parastomal hernia,
- Closing the stoma.This is the best option for repairing a parastomal hernia. It’s only an option for a small group of people who have enough healthy bowel left to reattach the end that forms the stoma.
- 修复疝气。在这种类型的手术中，外科医生在疝气上打开腹壁，将肌肉和其他组织缝在一起，以缩小或关闭疝气。当疝气小时，该手术最成功。
- 重新定位造口。在某些情况下，可以关闭带有副疝的造口，并且可以在腹部另一部分打开新的造口。但是新的造口周围可以形成新的副疝。
- Mesh.Mesh inserts are currently the most common type of surgical parastomal hernia repair. Either synthetic or biological mesh can be used. Biological mesh is often considered more comfortable, but is much more expensive. In this type of repair, the hernia is repaired using the same technique as in other surgeries. Then, mesh is placed either over the repaired stoma or below the abdominal wall. Eventually, the mesh incorporates into the tissue around it. This creates a strong area in the abdomen and helps prevent the hernia from forming again.
副疝通常会逐渐发展和生长。随着它的发展，您
- 造口周围的疼痛或不适
- trouble keeping your stoma appliance in place
- bulging around your stoma, especially when you cough
Having a stoma sometimes weakens your abdominal muscles, causing them to pull away from the stoma. This process can lead to a parastomal hernia. Several other factors can contribute to the development of a parastomal hernia,
副疝是常见的，通常可以通过改变生活方式来管理。减肥和戒烟，以及戴着腹部支撑带，可以帮助缓解不舒服的症状。
Stomal support belts are compression belts worn around the abdomen to support the abdominal muscles, secure the stoma, and conceal the appliance. There’ssome evidencethat they can reduce the risk of a parastomal hernia developing or getting worse.
如果您的肥胖症生活或超重，您的医生可能会建议您进行饮食或运动计划，以帮助您达到适度的体重。
如果你是一个吸烟者,你的医生可能会建议you participate in a smoking cessation program to help you quit.
Some patients with a parastomal hernia will ultimately require surgical repair. For example, a strangulated or incarcerated hernia requires emergency surgical repair because of the risk of缺血性结肠炎。
Elective surgery may be considered for patients who have chronic obstruction, pain, appliance leakage, discomfort from an ill-fitting appliance, or peristomal skin breakdown.
Some people have a higher risk of developing a parastomal hernia. Common risk factors
- older age
- obesity，尤其是如果您的腰部，胃或臀部区域携带体重
- cancer
- smoking
- 克罗恩病
- 患有慢性咳嗽的呼吸道疾病
如果您以前有腹壁疝，您的风险也会增加。
在某些极少数情况下，肠子可能会被困在疝气中。这会阻止肠子，并可能导致血液供应的损失。这被称为勒死, which is a very painful condition.
Strangulation requires emergency surgery to untwist the intestine and restore blood supply. This is so that the obstructed part of the intestine isn’t permanently damaged.
副疝是常见的并发症colostomiesandileostomies。在许多情况下，它们是无症状的，或者仅引起轻微的不适，并且可以通过改变生活方式来有效地管理。在需要手术的情况下，疝气维修并获得网状支撑
Parastomal hernias are a common complication following surgery to create a stoma. Parastomal hernias can create pain and discomfort, cause leakage of your ostomy appliance, and cause skin irritation.
发生副疝的风险是
这