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ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)
Print version ISSN 0102-6720
ARAUJO, Sergio Eduardo Alonso et al. Management of paraestomal hernias. ABCD, arq. bras. cir. dig. [online]. 2011, vol.24, n.4, pp.328-333. ISSN 0102-6720. http://dx.doi.org/10.1590/S0102-67202011000400015.
INTRODUCTION: Paraestomal hernia represents a late complication of virtually all intestinal stoma. Clinical manifestations range from a simple cosmetic problem to the strangulation of the herniated contents. The degree of disability produced by the hernia is variable. There is a wide range of procedures using or not using prosthetic material of different specificity and controversial results. METHODS: Was performed a literature review on sites PubMed, BIREME, SciELO with the headings paraestomal hernias, surgery, hernia, colostomy and ileostomy. Were selected mainly studies with the application of surgical techniques and added to the authors' clinical experience. CONCLUSION: Despite various techniques and available devices to handle the paraestomal hernias, there is no ideal method that may be recommended for all cases. Thus, a careful analysis of risk factors can choose the best treatment option that should be done individualizely to each case.
Keywords : Paraestomal hernias; Surgical treatment; Hernia; Colostomy; Ileostomy.