Stomal Closure: Strategies to Prevent Incisional Hernia
| العنوان: | Stomal Closure: Strategies to Prevent Incisional Hernia |
|---|---|
| المؤلفون: | Rhiannon L Harries, Jared Torkington |
| المصدر: | Frontiers in Surgery, Vol 5 (2018) Frontiers in Surgery |
| بيانات النشر: | Frontiers Media S.A., 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | colostomy, medicine.medical_specialty, incisional hernia, Incisional hernia, medicine.medical_treatment, lcsh:Surgery, stoma site herniation, Review, 030230 surgery, stoma closure site hernia, hernia, law.invention, 03 medical and health sciences, Ileostomy, Stoma closure, 0302 clinical medicine, Quality of life, Randomized controlled trial, law, medicine, Hernia, Closure (psychology), ostomy reversal, business.industry, Colostomy, lcsh:RD1-811, medicine.disease, digestive system diseases, Surgery, surgical procedures, operative, 030220 oncology & carcinogenesis, stoma closure, business |
| الوصف: | Incisional hernias following ostomy reversal occur frequently. Incisional hernias at the site of a previous stoma closure can cause significant morbidity, impaired quality of life, lead to life-threatening hernia incarceration or strangulation and result in a significant financial burden on health care systems Despite this, the evidence base on the subject is limited. Many recognised risk factors for the development of incisional hernia following ostomy reversal are related to patient factors such as age, malignancy, diabetes, COPD, hypertension and obesity, and are not easily correctable. There is a limited amount of evidence to suggest that prophylactic mesh reinforcement may be of benefit to reduce the post stoma closure incisional hernia rate but a further large scale randomised controlled trial is due to report in the near future. There appears to be weak evidence to suggest that surgeons should favour circular, or "purse-string" closure of the skin following stoma closure in order to reduce the risk of SSI, which in turn may reduce incisional hernia formation. There remains the need for further evidence in relation to suture technique, skin closure techniques, mechanical bowel preparation and oral antibiotic prescription focusing on incisional hernia development as an outcome measure. Within this review, we discuss in detail the evidence base for the risk factors for the development of, and the strategies to prevent ostomy reversal site incisional hernias. |
| اللغة: | English |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8043506e4df45056ef1a044da83a0b48Test http://journal.frontiersin.org/article/10.3389/fsurg.2018.00028/fullTest |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....8043506e4df45056ef1a044da83a0b48 |
| قاعدة البيانات: | OpenAIRE |
| الوصف غير متاح. |