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Published on: July 12, 2018
Life table analysis of hernia following end colostomy construction
E Mylonakis1, M Scarpa, M Barollo
1University Department of Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK.
Summary
Long-term follow-up shows that end colostomy construction leads to a higher hernia rate in patients over 60 years old. Age is a significant risk factor for developing para-colostomy hernia.
Area of Science:
- Colorectal Surgery
- Surgical Outcomes
- Hernia Research
Background:
- End colostomy construction is a common surgical procedure.
- Para-colostomy hernia is a known complication following stoma formation.
- Understanding long-term outcomes and risk factors is crucial for patient management.
Purpose of the Study:
- To investigate the long-term incidence of para-colostomy hernia.
- To identify risk factors associated with hernia development after end colostomy.
Main Methods:
- A cohort of 86 patients with permanent end colostomy was followed for at least 5 years.
- Patients were interviewed and examined to assess for hernia.
- Potential risk factors including age, obesity, smoking, and comorbidities were analyzed.
Main Results:
- Para-colostomy hernia occurred in 13.9% of patients (12/86).
- The incidence of hernia increased with longer follow-up duration.
- Patients over 60 years old had a significantly higher hernia rate (22%) compared to those younger than 60 (4.8%).
Conclusions:
- The risk of para-colostomy hernia increases over time after end colostomy construction.
- Advanced age (over 60) is a significant risk factor for developing para-colostomy hernia.
- Obesity and cardiorespiratory disease did not correlate with increased hernia risk in this study.
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