Salsabil Nasri, Neyrouz Kammoun, Mohamed Mehdi Trabelsi, Amine Ben Safta, Imen Samaali, Chadli Dziri, Ramzi Nouira
{"title":"回肠造口术逆转后切口疝的患病率和危险因素：荟萃分析与荟萃回归。","authors":"Salsabil Nasri, Neyrouz Kammoun, Mohamed Mehdi Trabelsi, Amine Ben Safta, Imen Samaali, Chadli Dziri, Ramzi Nouira","doi":"10.1007/s10029-025-03367-y","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The rate of incisional hernia (IH) at stoma site after ileostomy closure is controversial in the literature. We aimed to estimate the prevalence of IH at stoma site after ileostomy reversal and to determine its risk factors.</p><p><strong>Material and methods: </strong>We performed a systematic review according to PRISMA standards to identify studies reporting prevalence of IH after ileostomy closure. Meta-analysis was performed to estimate its rate. Heterogeneity was explained by meta-regression and subgroup analysis.</p><p><strong>Results: </strong>Twenty studies were included with 2629 patients. The pooled estimated rate was 13,7% with a 95% confidence interval (11-17%). The 95% prediction interval varied between 5,3% and 31,1%, which showed substantial heterogeneity. Meta-regression showed that ASA score III and IV increases IH rate (p = 0,02). Obese and elderly patients have a tendency for developing IH with substantial heterogeneity. Subgroup analysis for COPD, diabetes mellitus, smoking, laparotomy approach for the initial surgery, did not show statistically significant differences.</p><p><strong>Conclusion: </strong>Prevalence of IH is higher than previously estimated in the literature. ASA score III and IV increases its rate. Prospective randomized studies focusing on the impact of prophylactic mesh implementation are necessary.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"204"},"PeriodicalIF":2.4000,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Prevalence and risk factors of incisional hernia after ileostomy reversal: meta-analysis with meta-regression.\",\"authors\":\"Salsabil Nasri, Neyrouz Kammoun, Mohamed Mehdi Trabelsi, Amine Ben Safta, Imen Samaali, Chadli Dziri, Ramzi Nouira\",\"doi\":\"10.1007/s10029-025-03367-y\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The rate of incisional hernia (IH) at stoma site after ileostomy closure is controversial in the literature. We aimed to estimate the prevalence of IH at stoma site after ileostomy reversal and to determine its risk factors.</p><p><strong>Material and methods: </strong>We performed a systematic review according to PRISMA standards to identify studies reporting prevalence of IH after ileostomy closure. Meta-analysis was performed to estimate its rate. Heterogeneity was explained by meta-regression and subgroup analysis.</p><p><strong>Results: </strong>Twenty studies were included with 2629 patients. The pooled estimated rate was 13,7% with a 95% confidence interval (11-17%). The 95% prediction interval varied between 5,3% and 31,1%, which showed substantial heterogeneity. Meta-regression showed that ASA score III and IV increases IH rate (p = 0,02). Obese and elderly patients have a tendency for developing IH with substantial heterogeneity. Subgroup analysis for COPD, diabetes mellitus, smoking, laparotomy approach for the initial surgery, did not show statistically significant differences.</p><p><strong>Conclusion: </strong>Prevalence of IH is higher than previously estimated in the literature. ASA score III and IV increases its rate. Prospective randomized studies focusing on the impact of prophylactic mesh implementation are necessary.</p>\",\"PeriodicalId\":13168,\"journal\":{\"name\":\"Hernia\",\"volume\":\"29 1\",\"pages\":\"204\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-06-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Hernia\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s10029-025-03367-y\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Hernia","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10029-025-03367-y","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}
Prevalence and risk factors of incisional hernia after ileostomy reversal: meta-analysis with meta-regression.
Background: The rate of incisional hernia (IH) at stoma site after ileostomy closure is controversial in the literature. We aimed to estimate the prevalence of IH at stoma site after ileostomy reversal and to determine its risk factors.
Material and methods: We performed a systematic review according to PRISMA standards to identify studies reporting prevalence of IH after ileostomy closure. Meta-analysis was performed to estimate its rate. Heterogeneity was explained by meta-regression and subgroup analysis.
Results: Twenty studies were included with 2629 patients. The pooled estimated rate was 13,7% with a 95% confidence interval (11-17%). The 95% prediction interval varied between 5,3% and 31,1%, which showed substantial heterogeneity. Meta-regression showed that ASA score III and IV increases IH rate (p = 0,02). Obese and elderly patients have a tendency for developing IH with substantial heterogeneity. Subgroup analysis for COPD, diabetes mellitus, smoking, laparotomy approach for the initial surgery, did not show statistically significant differences.
Conclusion: Prevalence of IH is higher than previously estimated in the literature. ASA score III and IV increases its rate. Prospective randomized studies focusing on the impact of prophylactic mesh implementation are necessary.
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.
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