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Journals / Journal of Basic and Clinical Health Sciences / 2026 / Volume: 7 Issue: 2

The Risk Factors for Parastomal Hernia Development: A 8-year Retrospective Study in Colorectal Surgery

Tayfun Bişgin(DOKUZ EYLÜL ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0001-7040-4228
Cahide Ayik(DOKUZ EYLUL UNIVERSITY, FACULTY OF NURSING)0000-0002-1766-3965
Deniz Cenan(DOKUZ EYLÜL ÜNİVERSİTESİ, DOKUZ EYLÜL ÜNİVERSİTESİ HASTANESİ SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ)0000-0003-4912-1068
Berke Manoğlu(DOKUZ EYLÜL ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0003-4755-2200
Dilek Özden(DOKUZ EYLÜL ÜNİVERSİTESİ, HEMŞİRELİK FAKÜLTESİ)0000-0001-8139-5558
Selman Sökmen(DOKUZ EYLÜL ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0001-8235-7246
Pages
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Publication Date
2023-05-31
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Advanced age, co-morbidity, laparoscopic surgery, the height of the ostomy, the left lower quadrant ostomy location, prolapse, and other ostomy-related complications were independent risk factors.

📌 3 Key Takeaways

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Objective & Hypothesis:Background: Although parastomal hernia is a common complication of ostomy surgery, the exact risk factors for its development remain unclear.
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Key Findings & Data:The data from a cohort of 952 ostomy patients' hospital records between 2013 and 2020 were extracted and analyzed.
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Conclusion & Impact:Advanced age, co-morbidity, laparoscopic surgery, the height of the ostomy, the left lower quadrant ostomy location, prolapse, and other ostomy-related complications were independent risk factors.
🔬Design:Research Article
📍Scope:2013 Verileri
⚙️Variables:parastomal hernia · ostomy · stoma

Abstract

Background: Although parastomal hernia is a common complication of ostomy surgery, the exact risk factors for its development remain unclear. The aim of this study was to determine the incidence and risk factors of parastomal hernia in ostomy patients. Methods: A retrospective study was conducted. The data from a cohort of 952 ostomy patients' hospital records between 2013 and 2020 were extracted and analyzed. Patients’ ostomy-related characteristics, complication notes, and the occurrence of parastomal hernia were retrieved. Results: The patients' mean age was 59.6 years (±14.4 years), and 524 (55%) of them were male. Colorectal cancer (476 patients,50%) was the most common etiology for surgery. Parastomal hernia developed in 100 (10.5%) of patients. Age >65 (OR=1.753; 95%CI=1.071-2.869), BMI >24.9 (OR=2.009; 95%CI=1.201-3.362), co-morbidity (OR=1.773; 95%CI=1.021-3.080), laparoscopic surgery (OR=5.643; 95%CI=3.113-10.230), height of ostomy (OR=1.906; 95%CI=1.122-3.236), left lower quadrant ostomy location (OR=2.252; 95%CI=1.319-3.845), prolapse (OR=7.876; 95%CI=3.571-17.372), and other ostomy-related complications (OR=2.888; 95%CI=1.179-7.074) were risk factors based on logistic regression analysis. Conclusion: The incidence of parastomal hernia was nearly one in ten patients after colorectal surgery with an ostomy. Advanced age, co-morbidity, laparoscopic surgery, the height of the ostomy, the left lower quadrant ostomy location, prolapse, and other ostomy-related complications were independent risk factors.

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Cite This Article

Bişgin, T., Ayik, C., Cenan, D., Manoğlu, B., Özden, D., Sökmen, S. (2023). The Risk Factors for Parastomal Hernia Development: A 8-year Retrospective Study in Colorectal Surgery. Journal of Basic and Clinical Health Sciences, Volume: 7 Issue: 2. https://doi.org/10.30621/jbachs.1223861

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