Incidence and risk factors for parastomal hernia with a permanent colostomy
Lei Liu
Department of Gastroenterology, The Affiliated Hospital of Qingdao University, Qingdao, China
Lei Liu and Longbo Zheng contributed equally to this study.Search for more papers by this authorLongbo Zheng
Department of Gastroenterology, The Affiliated Hospital of Qingdao University, Qingdao, China
Lei Liu and Longbo Zheng contributed equally to this study.Search for more papers by this authorMaoshen Zhang
Department of Gastroenterology, The Affiliated Hospital of Qingdao University, Qingdao, China
Search for more papers by this authorJilin Hu
Department of Gastroenterology, The Affiliated Hospital of Qingdao University, Qingdao, China
Search for more papers by this authorCorresponding Author
Yun Lu
Department of Gastroenterology, The Affiliated Hospital of Qingdao University, Qingdao, China
Correspondence Yun Lu and Dongsheng Wang, Department of Gastroenterology, The Affiliated Hospital of Qingdao University, Qingdao 266003, China.
Email: [email protected] and [email protected]
Search for more papers by this authorCorresponding Author
Dongsheng Wang
Department of Gastroenterology, The Affiliated Hospital of Qingdao University, Qingdao, China
Correspondence Yun Lu and Dongsheng Wang, Department of Gastroenterology, The Affiliated Hospital of Qingdao University, Qingdao 266003, China.
Email: [email protected] and [email protected]
Search for more papers by this authorLei Liu
Department of Gastroenterology, The Affiliated Hospital of Qingdao University, Qingdao, China
Lei Liu and Longbo Zheng contributed equally to this study.Search for more papers by this authorLongbo Zheng
Department of Gastroenterology, The Affiliated Hospital of Qingdao University, Qingdao, China
Lei Liu and Longbo Zheng contributed equally to this study.Search for more papers by this authorMaoshen Zhang
Department of Gastroenterology, The Affiliated Hospital of Qingdao University, Qingdao, China
Search for more papers by this authorJilin Hu
Department of Gastroenterology, The Affiliated Hospital of Qingdao University, Qingdao, China
Search for more papers by this authorCorresponding Author
Yun Lu
Department of Gastroenterology, The Affiliated Hospital of Qingdao University, Qingdao, China
Correspondence Yun Lu and Dongsheng Wang, Department of Gastroenterology, The Affiliated Hospital of Qingdao University, Qingdao 266003, China.
Email: [email protected] and [email protected]
Search for more papers by this authorCorresponding Author
Dongsheng Wang
Department of Gastroenterology, The Affiliated Hospital of Qingdao University, Qingdao, China
Correspondence Yun Lu and Dongsheng Wang, Department of Gastroenterology, The Affiliated Hospital of Qingdao University, Qingdao 266003, China.
Email: [email protected] and [email protected]
Search for more papers by this authorAbstract
Aim
This study aims to explore the incidence and risk factors for permanent colostomy complicated with a parastomal hernia (PSH) after rectal cancer resection.
Methods
This was a retrospective study of gastrointestinal surgery performed from January 2013 to December 2017 in patients with colorectal cancer treated at the Affiliated Hospital of Qingdao University. The relevant clinical variables of the patient were analyzed. Kaplan–Meier, univariate, and Cox multivariate analyses were used to evaluate the influencing factors and morbidity of PSH.
Results
Among the 211 patients, 65 developed PSH. The cumulative incidence reached 33.5% at 62 months. In the multivariate Cox survival analysis, the results showed that being a woman, aged ≥65 years, having a body mass index (BMI) ≥ 25 kg/m2, diabetes, and Clavien–Dindo Grade III and IV complications were risk factors for the occurrence of PSH.
Conclusion
In our study, the incidence of PSH increased annually and reached a maximum of 33.5% after 62 months. Among the patient-related factors, female sex, age ≥65 years, BMI ≥ 25 kg/m2, diabetes, and postoperative Clavien–Dindo Grade III and IV complications were significantly associated with the development of PSH. Therefore, intervention measures to prevent patients with this risk factor are advisable.
CONFLICTS OF INTEREST
The authors declare no conflicts of interest.
Open Research
DATA AVAILABILITY STATEMENT
The data analyzed in this study is subject to the following licenses/restrictions: This dataset is actually the case record system in our hospital which is only accessible to staff inside. Requests to access these datasets should be directed to Dongsheng Wang, [email protected].
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