Surgical repair of parastomal bulging: a retrospective register-based study on prospectively collected data.
Hernia
incidence
ostomy
parastomal bulging
recurrence
register
surgical repair
Journal
Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
ISSN: 1463-1318
Titre abrégé: Colorectal Dis
Pays: England
ID NLM: 100883611
Informations de publication
Date de publication:
11 2020
11 2020
Historique:
received:
26
02
2020
accepted:
13
05
2020
pubmed:
18
6
2020
medline:
19
8
2021
entrez:
18
6
2020
Statut:
ppublish
Résumé
The aim of this work was to examine (1) the incidence of primary repair, (2) the incidence of recurrent repair and (3) the types of repair performed in patients with parastomal bulging. Prospectively collected data on parastomal bulging from the Danish Stoma Database were linked to surgical data on repair of parastomal bulging from the Danish National Patient Register. Survival statistics provided cumulative incidences and time until primary and recurrent repair. In the study sample of 1016 patients with a permanent stoma and a parastomal bulge, 180 (18%) underwent surgical repair. The cumulative incidence of a primary repair was 9% [95% CI (8%; 11%)] within 1 year and 19% [95% CI (17%; 22%)] within 5 years after the occurrence of a parastomal bulge. We found a similar probability of undergoing primary repair in patients with ileostomy and colostomy. For recurrent repair, the 5-year cumulative incidence was 5% [95% CI (3%; 7%)]. In patients undergoing repair, the probability was 33% [95% CI (21%; 46%)] of having a recurrence requiring repair within 5 years. The main primary repair was open or laparoscopic repair with mesh (43%) followed by stoma revision (39%). Stoma revision and repair with mesh could precede or follow one another as primary and recurrent repair. Stoma reversal was performed in 17% of patients. Five years after the occurrence of a parastomal bulge the estimated probability of undergoing a repair was 19%. Having undergone a primary repair, the probability of recurrent repair was high. Stoma reversal was more common than expected.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1704-1713Subventions
Organisme : The Capital Region of Denmark, Foundation for Health research
Organisme : Novo Nordisk UK Research Foundation
ID : NNF16OC0023578
Organisme : Novo Nordisk UK Research Foundation
ID : NNF170C0029524
Organisme : The Research Council at Herlev Gentofte Hospital
Organisme : The Danish Ostomy Association, COPA
Organisme : Rigshospitalet, University Hospital of Copenhagen
ID : E-22647-05
Informations de copyright
Colorectal Disease © 2020 The Association of Coloproctology of Great Britain and Ireland.
Références
Sjodahl RI, Thorelius L, Hallbook OJ. Ultrasonographic findings in patients with peristomal bulging. Scand J Gastroenterol 2011; 46: 745-9.
Smietanski M, Szczepkowski M, Alexandre JA et al. European Hernia Society classification of parastomal hernias. Hernia 2014; 18: 1-6.
Andersen RM, Klausen TW, Danielsen AK, Vinther A, Gogenur I, Thomsen T. Incidence and risk factors for parastomal bulging in patients with ileostomy or colostomy: a register-based study using data from the danish stoma database capital region. Colorectal Dis 2018; 20: 331-40.
Gurmu A, Matthiessen P, Nilsson S, Pahlman L, Rutegard J, Gunnarsson U. The inter-observer reliability is very low at clinical examination of parastomal hernia. Int J Colorectal Dis 2011; 26: 89-95.
Rubin MS. Parastoma hernias. In: Intestinal Stomas Principles Techniques, and Management. (eds MacKeigan JM, Cataldo P). New York: Marcel Dekker Inc, 2004. pp 277-305.
Krogsgaard M, Thomsen T, Vinther A, Gogenur I, Kaldan G, Danielsen AK. Living with a parastomal bulge - patients' experiences of symptoms. J Clin Nurs 2017; 26: 5072-81.
Krogsgaard M, Watt T, Danielsen AK et al. Impact of a parastomal bulge on quality of life - a cross-sectional study of patients from the danish stoma database. Ann Surg 2019. [Epub ahead of print]. https://doi.org/10.1097/SLA.0000000000003743
Londono-Schimmer EE, Leong AP, Phillips RK. Life table analysis of stomal complications following colostomy. Dis Colon Rectum 1994; 37: 916-20.
Tivenius M, Nasvall P, Sandblom G. Parastomal hernias causing symptoms or requiring surgical repair after colorectal cancer surgery-a national population-based cohort study. Int J Colorectal Dis 2019; 34: 1267-72.
Ripoche J, Basurko C, Fabbro-Perray P, Prudhomme M. Parastomal hernia. A study of the French federation of ostomy patients. J Viscl Surg 2011; 148: e435-41.
Israelsson LA. Parastomal hernias. Surg clin North Am 2008; 88: 113-25.
Cowin C, Redmond C. Living with a parastomal hernia. Gastrointest Nurs 2012; 10: 16-24.
Antoniou SA, Agresta F, Garcia Alamino JM et al. European Hernia Society guidelines on prevention and treatment of parastomal hernias. Hernia 2017; 22: 183-98.
Odensten C, Strigard K, Dahlberg M, Gunnarsson U, Nasvall P. Parastomal hernia repair; seldom performed and seldom reported: results from a Nationwide survey. Scand J Surg 2020; 109: 96-101.
Helgstrand F, Rosenberg J, Kehlet H, Jorgensen LN, Wara P, Bisgaard T. Risk of morbidity, mortality, and recurrence after parastomal hernia repair: a nationwide study. Dis Colon Rectum 2013; 56: 1265-72.
Gregg ZA, Dao HE, Schechter S, Shah N. Paracolostomy hernia repair: who and when? J Am Coll Surg 2014; 218: 1105-12.
Andersen P, Erichsen R, Froslev T, Madsen MR, Laurberg S, Iversen LH. Open versus laparoscopic rectal cancer resection and risk of subsequent incisional hernia repair and paracolostomy hernia repair: a nationwide population-based cohort study. Surg Endosc 2018; 32: 134-44.
Gavigan T, Rozario N, Matthews B, Reinke C. Trends in parastomal hernia repair in the United States: a 14-y review. J Surg Res 2017; 218: 78-85.
Hansson BM, Slater NJ, van der Velden AS et al. Surgical techniques for parastomal hernia repair: a systematic review of the literature. Ann Surg 2012; 255: 685-95.
Al Shakarchi J, Williams JG. Systematic review of open techniques for parastomal hernia repair. Tech Coloproctol 2014; 18: 427-32.
Wijeyekoon SP, Gurusamy K, El-Gendy K, Chan CL. Prevention of parastomal herniation with biologic/composite prosthetic mesh: a systematic review and meta-analysis of randomized controlled trials. J Am Coll Surg 2010; 211: 637-45.
Danielsen AK, Christensen BM, Mortensen J, Voergaard LL, Herlufsen P, Balleby L. Establishment of a regional Danish database for patients with a stoma. Colorectal Dis 2015; 17: O27-33.
Schmidt M, Schmidt SA, Sandegaard JL, Ehrenstein V, Pedersen L, Sorensen HT. The Danish National Patient Registry: a review of content, data quality, and research potential. Clin Epidemiol 2015; 7: 449-90.
Benchimol EI, Smeeth L, Guttmann A et al. The REporting of studies Conducted using Observational Routinely-collected health Data (RECORD) statement. PLoS Med 2015; 12: e1001885.
Helgstrand F, Jorgensen LN. The Danish Ventral Hernia Database - a valuable tool for quality assessment and research. Clin Epidemiol 2016; 8: 719-23.
Ouellette JR, Small DG, Termuhlen PM. Evaluation of Charlson-Age Comorbidity Index as predictor of morbidity and mortality in patients with colorectal carcinoma. J Gastrointest Surg 2004; 8: 1061-7.
Thygesen SK, Christiansen CF, Christensen S, Lash TL, Sorensen HT. The predictive value of ICD-10 diagnostic coding used to assess Charlson comorbidity index conditions in the population-based Danish National Registry of Patients. BMC Med Res Methodol 2011; 11: 83.
Preen DB, Holman CD, Spilsbury K, Semmens JB, Brameld KJ. Length of comorbidity lookback period affected regression model performance of administrative health data. J Clin Epidemiol 2006; 59: 940-6.
de Groot V, Beckerman H, Lankhorst GJ, Bouter L. How to measure comorbidity. a critical review of available methods. J Clin Epidemiol 2003; 56: 221-9.
Cingi A, Cakir T, Sever A, Aktan AO. Enterostomy site hernias: a clinical and computerized tomographic evaluation. Dis Colon Rectum 2006; 49: 1559-63.
Williams JG, Etherington R, Hayward MW, Hughes LE. Paraileostomy hernia: a clinical and radiological study. Br J Surg 1990; 77: 1355-7.
Hong SY, Oh SY, Lee JH, Kim DY, Suh KW. Risk factors for parastomal hernia: based on radiological definition. J Korean Surg 2013; 84: 43-7.
Janes A, Weisby L, Israelsson LA. Parastomal hernia: clinical and radiological definitions. Hernia 2011; 15: 189-92.
Putter H, Fiocco M, Geskus RB. Tutorial in biostatistics: competing risks and multi-state models. Stat Med 2007; 26: 2389-430.
Stelzner S, Hellmich G, Ludwig K. Repair of paracolostomy hernias with a prosthetic mesh in the intraperitoneal onlay position: modified Sugarbaker technique. Dis Colon Rectum 2004; 47: 185-91.
Mylonakis E, Scarpa M, Barollo M, Yarnoz C, Keighley MR. Life table analysis of hernia following end colostomy construction. Colorectal Dis 2001; 3: 334-7.
Kokotovic D, Gogenur I, Helgstrand F. Substantial variation among hernia experts in the decision for treatment of patients with incisional hernia: a descriptive study on agreement. Hernia 2017; 21: 271-8.
Moreno-Matias J, Serra-Aracil X, Darnell-Martin A et al. The prevalence of parastomal hernia after formation of an end colostomy. A new clinico-radiological classification. Colorectal Dis 2009; 11: 173-7.
Mittal R, Jalouta T, Luchtefeld M, Ogilvie J Jr. Surgical management of stomal prolapse - Is there a superior approach to repair? Am J Surg 2020. [Epub ahead of print]. https://doi.org/10.1016/j.amjsurg.2020.02.031
Krogsgaard M, Pilsgaard B, Borglit TB, Bentzen J, Balleby L, Krarup PM. Symptom load and individual symptoms before and after repair of parastomal hernia: a prospective single centre study. Colorectal Dis 2017; 19: 200-7.
ACPGBI_Parastomal_Hernia_Group. Prevention and treatment of parastomal hernia: a position statement on behalf of the Association of Coloproctology of Great Britain and Ireland. Colorectal Dis 2018; 20(Suppl 2): 5-19.
Helgstrand F, Rosenberg J, Kehlet H, Bisgaard T. Outcomes after emergency versus elective ventral hernia repair: a prospective nationwide study. World J Surg 2013; 37: 2273-9.
Harries RL, Daniels IR, Smart NJ. Outcomes of surgically managed recurrent parastomal hernia: the Sisyphean challenge of the hernia world. Hernia 2020. [Epub ahead of print]. https://doi.org/10.1007/s10029-020-02161-2
Odensten C, Strigard K, Rutegard J et al. Use of prophylactic mesh when creating a colostomy does not prevent parastomal hernia: a randomized controlled trial-STOMAMESH. Ann Surg 2019; 269: 427-31.
Hotouras A, Murphy J, Thaha M, Chan CL. The persistent challenge of parastomal herniation: a review of the literature and future developments. Colorectal Dis 2013; 15: e202-14.
Horesh N, Rudnicki Y, Dreznik Y et al. Reversal of Hartmann's procedure: still a complicated operation. Tech Coloproctol 2018; 22: 81-7.