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. 2022 Sep;126(3):535-543.
doi: 10.1002/jso.26919. Epub 2022 May 24.

Incidence and risk factors for parastomal hernia with a permanent colostomy

Lei Liu  1 , Longbo Zheng  1 , Maoshen Zhang  1 , Jilin Hu  1 , Yun Lu  1 , Dongsheng Wang  1
Affiliations

Incidence and risk factors for parastomal hernia with a permanent colostomy

Lei Liu et al. J Surg Oncol. 2022 Sep.

Abstract

Aim: This study aims to explore the incidence and risk factors for permanent colostomy complicated with a parastomal hernia (PSH) after rectal cancer resection.

Methods: This was a retrospective study of gastrointestinal surgery performed from January 2013 to December 2017 in patients with colorectal cancer treated at the Affiliated Hospital of Qingdao University. The relevant clinical variables of the patient were analyzed. Kaplan-Meier, univariate, and Cox multivariate analyses were used to evaluate the influencing factors and morbidity of PSH.

Results: Among the 211 patients, 65 developed PSH. The cumulative incidence reached 33.5% at 62 months. In the multivariate Cox survival analysis, the results showed that being a woman, aged ≥65 years, having a body mass index (BMI) ≥ 25 kg/m2 , diabetes, and Clavien-Dindo Grade III and IV complications were risk factors for the occurrence of PSH.

Conclusion: In our study, the incidence of PSH increased annually and reached a maximum of 33.5% after 62 months. Among the patient-related factors, female sex, age ≥65 years, BMI ≥ 25 kg/m2 , diabetes, and postoperative Clavien-Dindo Grade III and IV complications were significantly associated with the development of PSH. Therefore, intervention measures to prevent patients with this risk factor are advisable.

Keywords: colostomy; complication; incidence; parastomal hernia; risk factors.

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References

REFERENCES

    1. Li Y, Wang J, Ma X, et al. A review of neoadjuvant chemoradiotherapy for locally advanced rectal cancer. Int J Biol Sci. 2016;12:1022-1031.
    1. Qin Q, Ma T, Deng Y, et al. Impact of preoperative radiotherapy on anastomotic leakage and stenosis after rectal cancer resection: post hoc analysis of a randomized controlled trial. Dis Colon Rectum. 2016;59:934-942.
    1. Ansari N, Solomon MJ, Fisher RJ, et al. Acute adverse events and postoperative complications in a randomized trial of preoperative short-course radiotherapy versus long-course chemoradiotherapy for T3 adenocarcinoma of the rectum. Ann Surg. 2017;265:882-888.
    1. Kojima K, Nakamura T, Sato T, et al. Risk factors for parastomal hernia after abdominoperineal resection for rectal cancer. Asian J Endosc Surg. 2017;10:276-281.
    1. Wang YW, Huang LY, Song CL, et al. Laparoscopic vs open abdominoperineal resection in the multimodality management of low rectal cancers. World J Gastroenterol. 2015;21:10174-10183.

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