2017 EHS指南：造口旁疝的预防和治疗.pdf

Hernia DOI 10.1007/s10029-017-1697-5 REVIEW European Hernia Society guidelines on prevention and treatment of parastomal hernias 1 2 3 4 5 6 7 S. A. Antoniou  · F. Agresta  · J. M. Garcia Alamino  · D. Berger  · F. Berrevoet  · H.‑T. Brandsma  · K. Bury  · J. Conze8,9,10 · D. Cuccurullo11 · U. A. Dietz12 · R. H. Fortelny13 · C. Frei‑Lanter14 · B. Hansson15 · F. Helgstrand16 · A. Hotouras17 · A. Jänes18 · L. F. Kroese19 · J. R. Lambrecht20 · I. Kyle‑Leinhase21 · M. López‑Cano22 · L. Maggiori23 · V. Mandalà24 · M. Miserez25 · A. Montgomery26 · S. Morales‑Conde27 · M. Prudhomme28 · T. Rautio29 · N. Smart30 · M. Śmietański31,32 · M. Szczepkowski33,34 · C. Stabilini35 · F. E. Muysoms21  Received: 4 March 2017 / Accepted: 19 August 2017 © Springer-Verlag France SAS 2017 Abstract searched. Quality assessment was performed using Scottish Background International guidelines on the prevention and Intercollegiate Guidelines Network checklists. The guide- treatment of parastomal hernias are lacking. The European lines were presented at the 38th European Hernia Society Hernia Society therefore implemented a Clinical Practice Congress and each key question was evaluated in a consen- Guideline development project. sus voting of congress participants. Methods The guidelines development group consisted of Results End colostomy is associated with a higher inci- general, hernia and colorectal surgeons, a biostatistician and dence of parastomal hernia, compared to other types of sto- a biologist, from 14 European countries. These guidelines mas. Clinical examination is necessary for the diagnosis of conformed t