Incidence of and risk factors for stoma‐site incisional herniation after reversal
| Autor: | Amelung, F. J., de Guerre, L. E. V. M., Consten, E. C. J., Kist, J. W., Verheijen, P. M., Broeders, I. A. M. J., Draaisma, W. A. |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Your Views Your View business.industry Incidence (epidemiology) General surgery InformationSystems_INFORMATIONSTORAGEANDRETRIEVAL lcsh:Surgery Original Articles Hardware_PERFORMANCEANDRELIABILITY General Medicine lcsh:RD1-811 digestive system diseases surgical procedures operative Stoma site Hardware_INTEGRATEDCIRCUITS Medicine Original Article business GeneralLiterature_REFERENCE(e.g. dictionaries encyclopedias glossaries) |
| Zdroj: | BJS Open, Vol 3, Iss 3, Pp 415-415 (2019) BJS Open |
| ISSN: | 2474-9842 |
| Popis: | Background Stoma reversal is often considered a straightforward procedure with low short‐term complication rates. The aim of this study was to determine the rate of incisional hernia following stoma reversal and identify risk factors for its development. Methods This was an observational study of consecutive patients who underwent stoma reversal between 2009 and 2015 at a teaching hospital. Patients followed for at least 12 months were eligible. The primary outcome was the development of incisional hernia at the previous stoma site. Independent risk factors were assessed using multivariable logistic regression analysis. Results After a median follow‐up of 24 (range 12–89) months, 110 of 318 included patients (34·6 per cent) developed an incisional hernia at the previous stoma site. In 85 (77·3 per cent) the hernia was symptomatic, and 72 patients (65·5 per cent) underwent surgical correction. Higher BMI (odds ratio (OR) 1·12, 95 per cent c.i. 1·04 to 1·21), stoma prolapse (OR 3·27, 1·04 to 10·27), parastomal hernia (OR 5·08, 1·30 to 19·85) and hypertension (OR 2·52, 1·14 to 5·54) were identified as independent risk factors for the development of incisional hernia at the previous stoma site. In addition, the risk of incisional hernia was greater in patients with underlying malignant disease who had undergone a colostomy than in those who had had an ileostomy (OR 5·05, 2·28 to 11·23). Conclusion Incisional hernia of the previous stoma site was common and frequently required surgical correction. Higher BMI, reversal of colostomy in patients with an underlying malignancy, stoma prolapse, parastomal hernia and hypertension were identified as independent risk factors. |
| Databáze: | OpenAIRE |
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