Experience in application of ipsilateral rectus abdominis translocation stoma in laparoscopic parastomal hernia repair

Abstract

Objective To analyze the application value of ipsilateral rectus abdominis translocation stoma in laparoscopic parastomal hernia repair. Methods 60 patients with parasagiostomy hernia admitted to Kaizhou district hospital were randomly divided into the control group and the observation group, with 30 cases in each group. Patients in the control group were treated with open parastomal hernia repair, while patients in the observation group were treated with laparoscopic parastomal hernia repair with stoma relocation trans-ispilateral rectus abdominis. The operation, hospitalization, complication rate, recurrence rate, long-term pain rate and incisional hernia rate were compared between the two groups. Results The incidence of infection, total incidence of complications and recurrence rate in the observation group were 0%, 16.67% and 3.33%, respectively, which were significantly lower than those in the control group (16.67%, 43.33% and 23.33%), with statistical differences (χ2=5.455、5.079、5.192, P=0.020、0.024、0.023). The operation time and hospitalization expenses of patients in the observation group were higher than those in the control group, with statistical differences [(131.05±12.11) min vs (96.91±10.54) min, (38 946.06±1 019.75) yuan vs (18 492.19±572.36) yuan, t=11.647、95.802, all P<0.001]. The patients in the observation group had lower intraoperative bleeding, postoperative ambulation time and postoperative recovery time than those in the control group, with statistical differences [(33.14±8.06) ml vs (69.28±9.18) ml, (1.26±0.51) d vs (2.27±1.02) d, (3.59±1.17) d vs (5.44±2.25) d, t=16.204、4.851、3.996, all P<0.001]. Conclusion Ipsilateral rectus abdominis translocation stoma has good effect in laparoscopic parastomal hernia repair. It can effectively improve the operation and hospitalization, and reduce the postoperative complications and recurrence in patients with parastomal hernia of sigmoid colon, which is worthy for clinical application. Key words: Parastomal hernia of sigmoid colon; In-situ stoma repair; Stoma relocation; Laparoscopic parastomal hernia repair; Infection; Recurernce rate