A Modified Surgical Technique to Prevent Parastomal Hernia

Zhuolin Fan; Weiyu Guan; Tao Zhang; Dewei Zhang

doi:10.3389/fsurg.2022.907316

A Modified Surgical Technique to Prevent Parastomal Hernia

Front Surg. 2022 Jun 28:9:907316. doi: 10.3389/fsurg.2022.907316. eCollection 2022.

Authors

Zhuolin Fan¹, Weiyu Guan¹, Tao Zhang¹, Dewei Zhang¹

Affiliation

¹ Department of General Surgery, The Fourth Affiliated Hospital of China Medical University, Shenyang, China.

Abstract

An extraperitoneal colostomy is not sufficiently effective in preventing parastomal hernias. On the basis of anatomic structures and mechanical principles, we modified this surgical technique by preserving the integrity of the posterior rectus abdominis sheath to prevent parastomal hernia, and we applied it clinically.

Keywords: abdominal rectus muscles; abdominoperineal resection; colostomy; parastomal hernia; posterior rectus abdominis sheath; rectal cancer.