The role of radiological classification of parastomal hernia as a predictor of the need for surgical hernia repair: a retrospective cohort study

Frigault, Jonathan; Lemieux, Simon; Breton, D; Bouchard, Gilles; Drolet, Sébastien

doi:10.1007/s00423-021-02155-3

Cited by 2 publications

(6 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Parastomal hernia (PSH) is an incisional hernia associated with a stoma, resulting in a protrusion of abdominal content through the defect in the abdominal wall created during the creation of a colostomy, ileostomy, or ileal conduit [ 2 , 67 , 68 ]. For the purposes of this study, we will not discuss PSH associated with urinary stomas.…”

Section: Methodsmentioning

confidence: 99%

“…The incidence of PSH is variable depending on the definition, diagnostic method or classification system used, depending also on the follow-up of the studies. Most reports describe incidence rates greater than 30%, reaching higher rates for colostomies, as high as 86% [ 67 , 69 , 70 ].…”

Section: Methodsmentioning

confidence: 99%

“…The first and most direct method is physical examination, with observation of a protrusion over the abdominal wall around the stoma, especially if the patient is performing a Valsalva maneuver in erect or supine position. However, this method is affected by poor inter-observer reliability [ 67 , 68 , 70 ]. For this reason, an imaging technique, such as abdominal ultrasound (US) or computed tomography (CT scan), is often used to confirm the clinical diagnosis.…”

Section: Methodsmentioning

confidence: 99%

“…Differences in the detection reliability of CT scan may exist if the examination is performed in the supine or prone position or during Valsalva maneuver [ 68 ]. Although no gold standard exists for the diagnostic method of PSH, CT scan is universally accepted as the technique of choice to confirm the diagnosis or obtain better characterization of parastomal hernia [ 67 , 68 ], with a sensitivity of 83% compared to clinical examination alone [ 70 ] (Table 6 ).…”

Section: Methodsmentioning

confidence: 99%

“…Moreover, the authors did not evaluate a potential correlation with clinical diagnosis because radiological assessment was not always followed by clinical evaluation of the stoma. The authors concluded that the EHS classification correlated with the need for surgical repair during follow-up [ 67 ] (Table 7 ).…”

Section: Methodsmentioning

confidence: 99%

See 4 more Smart Citations

Surgical management of ostomy complications: a MISSTO–WSES mapping review

Parini,

Bondurri,

Ferrara

et al. 2023

World J Emerg Surg

View full text Add to dashboard Cite

Background The creation of an ileostomy or colostomy is a common surgical event, both in elective and in emergency context. The main aim of stoma creation is to prevent postoperative complications, such as the anastomotic leak. However, stoma-related complications can also occur and their morbidity is not negligible, with a rate from 20 to 70%. Most stomal complications are managed conservatively, but, when this approach is not resolutive, surgical treatment becomes necessary. The aim of this mapping review is to get a comprehensive overview on the incidence, the risk factors, and the management of the main early and late ostomy complications: stoma necrosis, mucocutaneous separation, stoma retraction, stoma prolapse, parastomal hernia, stoma stenosis, and stoma bleeding. Material and methods A complete literature research in principal databases (PUBMED, EMBASE, SCOPUS and COCHRANE) was performed by Multidisciplinary Italian Study group for STOmas (MISSTO) for each topic, with no language restriction and limited to the years 2011–2021. An international expert panel, from MISSTO and World Society of Emergency Surgery (WSES), subsequently reviewed the different issues, endorsed the project, and approved the final manuscript. Conclusion Stoma-related complications are common and require a step-up management, from conservative stoma care to surgical stoma revision. A study of literature evidence in clinical practice for stoma creation and an improved management of stoma-related complications could significantly increase the quality of life of patients with ostomy. Solid evidence from the literature about the correct management is lacking, and an international consensus is needed to draw up new guidelines on this subject.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

Surgical management of ostomy complications: a MISSTO–WSES mapping review

Parini,

Bondurri,

Ferrara

et al. 2023

World J Emerg Surg

View full text Add to dashboard Cite

show abstract

Risk factors for the development of parastomal hernia: A narrative review

Andronic,

Manole,

Daniel

et al. 2023

Saudi J Med Med Sci

View full text Add to dashboard Cite

Parastomal hernia is one of the most common late complications after stoma formation, significantly decreasing patient’s quality of life and negatively impacting body image and physical functioning. Progress has been made regarding the surgical technique of stoma creation in different categories of patients, but a better understanding of the risk factors is crucial in reducing the likeliness of parastomal hernia formation and in helping develop risk stratification strategies for pre-and post-operation management. However, currently there is limited consensus on the associated risk factors. Accordingly, for this narrative review, the authors conducted a literature review through three databases (PubMed, Web of Science, and Scopus) and categorized the identified risk factors into the following three categories: patient-, surgery-, and disease-related. Within these categories, the following 10 risk factors were identified and discussed: age, gender, waist circumference, type of ostomy, laparoscopic approach, aperture size >3 cm, stoma not passing through the middle of rectus abdominis muscle, BMI >25 kg/m 2 , altered collagen metabolism, and diabetes.

show abstract

The role of radiological classification of parastomal hernia as a predictor of the need for surgical hernia repair: a retrospective cohort study

Cited by 2 publications

References 18 publications

Surgical management of ostomy complications: a MISSTO–WSES mapping review

Surgical management of ostomy complications: a MISSTO–WSES mapping review

Risk factors for the development of parastomal hernia: A narrative review

Contact Info

Product

Resources

About