2018ACPGBI立场声明_造口旁疝的预防和治疗.pdf

Position Statement doi:10.1111/codi.14249 Prevention and treatment of parastomal hernia: a position statement on behalf of the Association of Coloproctology of Great Britain and Ireland ACPGBI Parastomal Hernia Group 1 Received 26 February 2018; accepted 30 April 2018 Abstract Aim The Association of Coloproctology of Great Brit- non-absorbable mesh can be used safely in the short ain and Ireland (ACPGBI) Delphi process identified term in the construction of colostomies post rectal sur- prevention and treatment of parastomal hernia (PSH) as gery, but longer-term follow-up is needed. Other the second highest priority non-cancer related colorectal broad recommendations are made around access to pathology. This position statement aims to summarize stoma care nurses, prevention classification and man- the current evidence base. agement. Methods Four broad themes were identified (preven- Conclusion There is a lack of high quality evidence for tion, diagnosis/classification, management and operative many domains in the prevention and treatment of PSH repair). Guidelines are based on evidence from an but the results of several studies are awaited. extensive literature review using organized searches on the PubMed, MEDLINE, Embase and Cochrane data- What does this paper add to the literature? Para- bases. The Grading of Recommendations Assessment, stomal hernias are a common and debilitating condition Dev