Symptom load and individual symptoms before and after repair of parastomal hernia: a prospective single centre study
| Autor: | Lis Balleby, Peter-Martin Krarup, Trine Bolette Borglit, Joan Bentzen, Marianne Krogsgaard, B. Pilsgaard |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Parastomal hernia Skin Diseases Stoma 03 medical and health sciences Ileostomy 0302 clinical medicine Postoperative Complications Interquartile range Recurrence Activities of Daily Living Colostomy medicine Humans Surgical Stomata Aged Aged 80 and over business.industry Gastroenterology Surgical Stomas Middle Aged medicine.disease Social Participation Hernia Ventral Surgery Bowel obstruction Single centre 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Female business Intestinal Obstruction |
| Zdroj: | Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland. 19(2) |
| ISSN: | 1463-1318 |
| Popis: | AIM The symptom load and individual symptoms before and after repair of parastomal hernia were investigated. METHOD Stoma-related symptoms were prospectively recorded before repair of a parastomal hernia and at 10 days and 6 months postoperatively: leakage, skin problems, difficulty with the appliance, limitation of activity, difficulty with clothing, cosmetic complaints, social restriction, erratic action of the stoma, a bearing-down sensation at the site of the stoma and pain. Episodes of intermittent bowel obstruction and difficulty with irrigation were also recorded. Patients were seen at 1, 2 and 3 years and were examined for recurrent parastomal herniation. RESULTS Of 131 consecutive patients referred to a specialized centre for treatment of parastomal bulging, 61 underwent parastomal hernia repair. Forty-eight patients were treated with the Sugarbaker technique. Six different symptoms were present in more than half the patients before surgery. The overall symptom load decreased significantly from a median of 4 [interquartile range (IQR) 2.5-6] preoperatively to 2 (IQR 1-3) on postoperative day 10 and 1 (IQR 0-2) at 6 months, P |
| Databáze: | OpenAIRE |
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