کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3319419 | 1211687 | 2012 | 5 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Prosthetics for Parastomal Hernia Repair
دانلود مقاله + سفارش ترجمه
دانلود مقاله ISI انگلیسی
رایگان برای ایرانیان
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
بیماریهای گوارشی
پیش نمایش صفحه اول مقاله
چکیده انگلیسی
It is an accepted fact that parastomal hernias are a common and frustrating problem. Traditional surgical techniques of direct fascial repair and stoma relocation have largely fallen out of favor because of their poor outcomes. Synthetic prosthetic grafts have long been used in the repair of other types of hernias. Despite their known risk factors, including infection and erosion into bowel, they have been used extensively in the surgical management of parastomal hernias. Recently, newer bioprosthetic materials are beginning to make an appearance in clinical trials with promising results. Placement of these prosthetics in the sublay or underlay positioning is associated with the best outcomes. Lastly, the technique of routing the bowel is a hotly debated point-whether routing should be done through the prosthetic (keyhole technique) or around the prosthetic (Sugarbaker technique). The majority of published studies have used the keyhole technique with a wide range of success rates. Recently, the Sugarbaker technique is gaining in popularity with promising early results.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Seminars in Colon and Rectal Surgery - Volume 23, Issue 1, March 2012, Pages 26-30
Journal: Seminars in Colon and Rectal Surgery - Volume 23, Issue 1, March 2012, Pages 26-30
نویسندگان
Nicole A. MD, C. Neal MD, FACS, FASCRS, FACG,