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. 2013 Jan;84(1):43-7.
doi: 10.4174/jkss.2013.84.1.43. Epub 2012 Dec 26.

Risk factors for parastomal hernia: based on radiological definition

Sung Yeon Hong  1 , Seung Yeop Oh, Jae Hee Lee, Do Yoon Kim, Kwang Wook Suh
Affiliations

Risk factors for parastomal hernia: based on radiological definition

Sung Yeon Hong et al. J Korean Surg Soc. 2013 Jan.

Abstract

Purpose: The aim of this study was to investigate the clinical and radiological incidence of parastomal hernia and to analyze the risk factors for parastomal hernia.

Methods: We reviewed retrospectively 108 patients with end colostomy from January 2003 to June 2010. Age, sex, surgical procedure type, body mass index (kg/m(2)), stoma size, and respiratory comorbidity were documented.

Results: There were 61 males (56.5%) and 47 females (43.5%). During an overall median follow-up of 25 months (range, 6 to 73 months), 36 patients (33.3%) developed a radiological parastomal hernia postoperatively and 29 patients (26.9%) presented with a clinical parastomal hernia. In multivariate analysis, gender (odds ratio [OR], 6.087; P = 0.008), age (OR, 1.109; P = 0.009) and aperture size (OR, 6.907; P < 0.001) proved to be significant and independent risk factors after logistic regression analysis.

Conclusion: This study showed that the incidence of radiological parastomal hernia is higher than clinical parastomal hernia. Risk factors for parastomal hernia proved to be female, age, and aperture size.

Keywords: Colostomy; Computed tomography; Hernia.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

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