Sandwich parastomal hernia repair, a prospective observational study.

IF 2.4 2区医学 Q1 SURGERY

Hernia Pub Date : 2025-06-21 DOI:10.1007/s10029-025-03335-6

T B Johnsen, T Stornes, B Ystgaard, T E Bernstein

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引用次数: 0

Abstract

Purpose: The aim of the study is to evaluate the safety, feasibility and short and long term outcomes following the Sandwich repair for parastomal hernia.

Methods: A prospective single center study including all patients operated with Sandwich repair at St. Olav hospital, Trondheim University hospital from 2018 to 2023.

Results: Fifty four patients were treated with the Sandwich repair. All procedures were performed laparoscopically, with two conversions to open surgery due to adhesions. The median age was 67 years. 44% of the patients were females. Two thirds of the patients had a colostomy. Pain or discomfort was the most frequent indication for parastomal hernia repair, followed by leakage. Median operation time was 149 min. Eight patients were operated in an emergency setting. Six patients had a recurrence after previous surgery for parastomal hernia. Three patients had ClavienDindo complication rate 3b following the Sandwich repair and had their implants removed a few days after index surgery. The median in-hospital time was 5 (2-35) days and the median followup was 33 months (1-61). No recurrences were identified.

Conclusion: The laparoscopic Sandwich repair is a safe methode for most of the parastomal hernia patients. Even with a reasonable long median follow-up, we did not observe any recurrences.

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夹层造口旁疝修补，一项前瞻性观察研究。

目的：本研究的目的是评价吻合口旁疝夹层修补术的安全性、可行性及短期和长期疗效。方法：一项前瞻性单中心研究，纳入2018年至2023年在特隆赫姆大学医院St. Olav医院进行三明治修复手术的所有患者。结果：54例患者行夹心修复术。所有手术均在腹腔镜下进行，由于粘连，两次转为开放手术。中位年龄为67岁。44%的患者为女性。三分之二的病人做了结肠造口术。疼痛或不适是造口旁疝修补术最常见的适应症，其次是瘘。中位手术时间为149分钟。8例患者在紧急情况下手术。6例患者在先前的造口旁疝手术后复发。3例患者在三明治修复后出现ClavienDindo并发症发生率3b，并在指数手术后几天取出植入物。中位住院时间为5（2-35）天，中位随访时间为33个月（1-61）。未发现复发。结论：腹腔镜夹层修补术对大多数造口旁疝患者是一种安全的方法。即使中位随访时间较长，我们也未观察到任何复发。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hernia SURGERY-

CiteScore

4.90

自引率

26.10%

发文量

171

审稿时长

4-8 weeks

期刊介绍： Hernia was founded in 1997 by Jean P. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias and the abdominal wall . Since that time, a true revolution in the field of hernia studies has transformed the field from a ”simple” disease to one that is very specialized. While the majority of surgeries for primary inguinal and abdominal wall hernia are performed in hospitals worldwide, complex situations such as multi recurrences, complications, abdominal wall reconstructions and others are being studied and treated in specialist centers. As a result, major institutions and societies are creating specific parameters and criteria to better address the complexities of hernia surgery. Hernia is a journal written by surgeons who have made abdominal wall surgery their specific field of interest, but we will consider publishing content from any surgeon who wishes to improve the science of this field. The Journal aims to ensure that hernia surgery is safer and easier for surgeons as well as patients, and provides a forum to all surgeons in the exchange of new ideas, results, and important research that is the basis of professional activity.