Parastomal Hernia

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www.downstatesurgery.orgParastomal HerniaPrevention• The opening should be made large enough to allowthe bowel to pass• Diameter of the opening should be around 2.5 cm,or two to three of the surgeon’s fingers• Larger openings in the abdominal wall, may beassociated with an increased risk of parastomalherniation
www.downstatesurgery.orgParastomal Hernia (PSH)• There is no need to fixate the mesentery or suturethe bowel to the aponeurosis as this has not reducedthe rate of herniation• Although laparoscopic techniques are commonlyused and safe, they have not proven effective inhernia prevention
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Parastomal Hernia

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