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Incisional hernias in temporary stoma wounds: a cohort study
Marc H F Schreinemacher1, Guy H E J Vijgen, Pieter C Dagnelie
1Department of General Surgery, Maastricht University Medical Center, the Netherlands.
Archives of Surgery (Chicago, Ill. : 1960)
|January 19, 2011
Summary
Incisional hernias affect one in three temporary stoma sites. Obesity (body mass index ≥30) is a significant risk factor for developing these hernias after stoma closure.
Area of Science:
- Surgical outcomes
- Abdominal wall reconstruction
- Hernia research
Background:
- Temporary stomas are common surgical interventions.
- Incisional hernias at stoma sites pose a significant clinical challenge.
- Understanding risk factors is crucial for prevention and management.
Purpose of the Study:
- To determine the prevalence of incisional hernias in temporary stoma wounds.
- To identify risk factors associated with incisional hernia development.
- To evaluate diagnostic methods for incisional hernias.
Main Methods:
- Retrospective cohort study at a university tertiary care hospital.
- Analysis of 111 adult patients undergoing temporary stoma closure.
- Incisional hernias diagnosed via ultrasonography, with clinical assessment.
Main Results:
- Hernia prevalence was 32.4% after a median follow-up of 35 months.
- Obesity (body mass index ≥30) was a significant risk factor (OR 5.53).
- Higher hernia rates observed in obese patients (59.1% vs. 25.8%).
Conclusions:
- Incisional hernias are common after temporary stoma closure, affecting approximately one in three patients.
- Obesity is a primary modifiable risk factor for incisional hernias at stoma sites.
- Ultrasonography is essential for accurate diagnosis, as clinical examination can be insufficient.
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