Outcomes after surgical repair of primary parastomal hernia.

IF 2.6 2区医学 Q1 SURGERY

Hernia Pub Date : 2025-01-23 DOI:10.1007/s10029-025-03267-1

Nulvin Djebbara-Bozo, Nellie B Zinther, Anette Søgaard, Hans Friis-Andersen

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引用次数: 0

Abstract

Purpose: Parastomal hernia is a frequent complication after stoma construction, with increasing incidence over time. Surgical repair is reported with a high recurrence rate and the evidence on the topic is limited. We conducted a retrospective study to evaluate the incidence of recurrence after parastomal hernia repair and assessed the risk factors and predictors for recurrence at the Regional Hernia Center at Horsens Regional Hospital, Denmark.

Methods: 119 patients underwent primary parastomal hernia repair from January 2017 until April 2021. Mean follow-up period was 72 months. Information including demographic data, non-modifiable risk factors and modifiable risk factors were assessed and analyzed using LASSO to select relevant predictors and GLM was employed hereafter.

Results: Multivariate analysis showed that age, diabetes, IBD, constipation, and fecal incontinence were strong pre-operative predictors, with age, IBD, ileostomy, and colorectal cancer also reaching significance in univariate analyses. Post-operatively, EHS classification 1, and Clavien Dindo Grade 3b were identified as strong predictors in univariate analyses.

Conclusion: Recurrence after parastomal hernia repair was 17.64% during a follow-up period of minimum 3.5 years.

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原发性造口旁疝手术修复后的疗效。

目的：造口旁疝是造口术后常见的并发症，其发生率随时间的推移而增加。手术修复有高复发率的报道，关于这个话题的证据是有限的。我们在丹麦Horsens地区医院的地区疝中心进行了一项回顾性研究，以评估造口旁疝修复后的复发率，并评估复发的危险因素和预测因素。方法：2017年1月至2021年4月，119例患者接受了初级造口旁疝修补术。平均随访时间为72个月。采用LASSO对人口统计数据、不可改变危险因素和可改变危险因素等信息进行评估和分析，选择相关预测因子，随后采用GLM。结果：多因素分析显示，年龄、糖尿病、IBD、便秘和大便失禁是术前较强的预测因素，单因素分析中年龄、IBD、回肠造口和结直肠癌也具有显著性。术后，EHS分级1和Clavien Dindo分级3b在单变量分析中被确定为强预测因子。结论：在至少3.5年的随访期间，造口旁疝修补术后复发率为17.64%。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hernia SURGERY-

CiteScore

4.90

自引率

26.10%

发文量

171

审稿时长

4-8 weeks

期刊介绍： Hernia was founded in 1997 by Jean P. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias and the abdominal wall . Since that time, a true revolution in the field of hernia studies has transformed the field from a ”simple” disease to one that is very specialized. While the majority of surgeries for primary inguinal and abdominal wall hernia are performed in hospitals worldwide, complex situations such as multi recurrences, complications, abdominal wall reconstructions and others are being studied and treated in specialist centers. As a result, major institutions and societies are creating specific parameters and criteria to better address the complexities of hernia surgery. Hernia is a journal written by surgeons who have made abdominal wall surgery their specific field of interest, but we will consider publishing content from any surgeon who wishes to improve the science of this field. The Journal aims to ensure that hernia surgery is safer and easier for surgeons as well as patients, and provides a forum to all surgeons in the exchange of new ideas, results, and important research that is the basis of professional activity.