Demonstration of para-ileostomy herniation using computed tomography

Etherington, R.J.; Williams, J. G.; Hayward, Melissa; Hughes, L E

doi:10.1016/s0009-9260(05)81696-4

Cited by 28 publications

(20 citation statements)

References 6 publications

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“…In addition to these factors, the site of stoma placement (i.e., through the abdominal rectus muscle), the peritoneal route used for colostomy creation (extraperitoneal or transperitoneal) and the size of the fascial opening are reported to be risk factors for parastomal hernia development [4, 17]. However, it is doubtful whether these parastomal hernia risk factors, identified in non-Japanese patients, apply to Japanese ostomates with permanent colostomies because of their environmental and genetic differences.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for parastomal hernia in Japanese patients with permanent colostomy

et al. 2013

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PurposeAlthough the definitive risk factors for parastomal hernia development remain unclear, potential contributing factors have been reported from Western countries. The aim of this study was to identify the risk factors for parastomal hernia in Japanese patients with permanent colostomies.MethodsAll patients who received abdominoperineal resection or total pelvic exenteration at our institution between December 2004 and December 2011 were reviewed. Patient-related, operation-related and postoperative variables were evaluated, in both univariate and multivariate analyses, to identify the risk factors for parastomal hernia formation.ResultsOf the 80 patients who underwent colostomy, 22 (27.5 %) developed a parastomal hernia during a median follow-up period of 953 days (range 15–2792 days). Hernia development was significantly associated with increasing patient age and body mass index, a laparoscopic surgical approach and the transperitoneal route of colostomy formation. In the multivariate analysis, the body mass index (p = 0.022), the laparoscopic approach (p = 0.043) and transperitoneal stoma creation (p = 0.021) retained statistical significance.ConclusionsOur findings in Japanese ostomates match those from Western countries: a higher body mass index, the use of a laparoscopic approach and a transperitoneal colostomy are significant independent risk factors for parastomal hernia formation. The precise role of the stoma creation route remains unclear.

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Section: Discussionmentioning

confidence: 99%

Risk factors for parastomal hernia in Japanese patients with permanent colostomy

et al. 2013

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“…Patient factors, such as age, smoking status [15], and degree of malnutrition [2,5], have also been suggested as an independent factor in multivariate analysis. Technical factors, such as whether the case was performed as an emergency [4,16] and aperture size [6], are also reported as important. We analyzed the risk factors influencing the radiologic parastomal hernia including age, gender, aperture size, BMI, waist circumference, and comorbidity.…”

Section: Discussionmentioning

confidence: 99%

“…Contributing factors to the development of a parastomal hernia are obesity [2,3], chronic obstructive airway disease [2,4], ascites [4], site of stoma placement [5], and size of the fascial opening [6]. The incidence reported in the literature ranges from 10% to 56% for end colostomies [7].…”

Section: Introductionmentioning

confidence: 99%

Risk factors for parastomal hernia: based on radiological definition

Hong

Lee

et al. 2013

J Korean Surg Soc

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PurposeThe aim of this study was to investigate the clinical and radiological incidence of parastomal hernia and to analyze the risk factors for parastomal hernia.MethodsWe reviewed retrospectively 108 patients with end colostomy from January 2003 to June 2010. Age, sex, surgical procedure type, body mass index (kg/m2), stoma size, and respiratory comorbidity were documented.RESULTSThere 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.ConclusionThis 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.

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“…In a review of 28 patients with end ileostomy, in whom ten hernias were diagnosed by CT, the size of the aperture was measured and its relation to the incidence of hernia calculated 66 . An opening of 3 cm or more was associated with eight hernias; the other two with apertures of 2 cm or less.…”

Section: Trephine Sizementioning

confidence: 99%