Parastomal Hernia

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www.downstatesurgery.orgParastomal Hernia (PSH)Risk FactorsDisease processes:• Obesity (BMI >30 kg/m2)• COPD• Diabetes• Ulcerative colitis• Raised intra-abdominal pressure• Postop sepsis• Perioperative steroid• Malignancy
www.downstatesurgery.orgParastomal Hernia (PSH)Risk FactorsTechnical factors:• Emergency procedures• When preoperative siting is not possible• Siting of the stoma outside of the rectus muscle• Aperture size
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Parastomal Hernia

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