Radiological incidence of parastomal herniation in cancer patients with permanent colostomy: What is the ideal size of the surgical aperture?
| Autor: | A. Hotouras, Jamie Murphy, Christopher L. Chan, Niall Power, Norman S. Williams |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Radiography Stoma Postoperative Complications Colostomy medicine Humans Hernia Median aperture Aged Retrospective Studies Aged 80 and over business.industry Abdominal wall defect Incidence Aperture size Parastomal herniation Retrospective cohort study General Medicine Middle Aged medicine.disease Surgery Hernia Abdominal Trephine Colonic Neoplasms Female business |
| Zdroj: | International Journal of Surgery. (5):425-427 |
| ISSN: | 1743-9191 |
| DOI: | 10.1016/j.ijsu.2013.03.010 |
| Popis: | BackgroundParastomal herniation frequently complicates stoma formation. Aperture size has been shown to be an independent predictor of hernia development but there is a paucity of data regarding the ideal stoma diameter. The aim of this study was to establish the radiological incidence of herniation in patients with a permanent colostomy and correlate it with the size of the abdominal wall defect in order to identify an aperture diameter associated with a reduced herniation risk.MethodsAll patients who underwent permanent colostomy formation for colorectal cancer over a five-year period in a single institution were recruited to the study. Patient demographics, operative details and stoma-related symptoms were recorded. Post-operative CT scans were reviewed for evidence of parastomal herniation. The diameter of the abdominal wall defect was measured radiologically.Results43 patients (mean age 69 years) were included in the analysis. Radiologically, 25/43 (58%) had evidence of a parastomal hernia. The median aperture diameter was 35 mm (range 25–58 mm) in patients with a parastomal hernia and 22 mm (range 10–36 mm) in patients without herniation (p |
| Databáze: | OpenAIRE |
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