Observational studyHernia : the journal of hernias and abdominal wall surgery2016
Retrospective observational study on the incidence of incisional hernias after reversal of a temporary diverting ileostomy following rectal carcinoma resection with follow-up CT scans.
Observational study in Hernia : the journal of hernias and abdominal wall surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 5 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 5 syntheses or guidelines pooled it, 30 citations in OpenAlex.
- Risk factors associated to incisional hernia in stoma site after stoma closure: A systematic review and meta-analysis.International journal of colorectal disease · 2023Pooled it
- An evidence map and synthesis review with meta-analysis on the risk of incisional hernia in colorectal surgery with standard closure.Hernia : the journal of hernias and abdominal wall surgery · 2022Pooled it
- Closure of stoma site with or without prophylactic mesh reinforcement: a systematic review and meta-analysis.International journal of colorectal disease · 2020Pooled it
- Systematic review and meta-analysis of incisional hernia post-reversal of ileostomy.Hernia : the journal of hernias and abdominal wall surgery · 2020Pooled it
- The application of defunctioning stomas after low anterior resection of rectal cancer.Surgery today · 2019Pooled it
- Prevention of incisional hernia in ileostomy reversal. 5-year follow-up prospective randomized controlled trial.Hernia : the journal of hernias and abdominal wall surgery · 2025Trial
- Retrorectus mesh reinforcement of ileostomy site fascial closure: stoma closure and reinforcement (SCAR) trial phase I/II results.Hernia : the journal of hernias and abdominal wall surgery · 2022Trial
- Prevention of incisional hernia with biosynthetic mesh at the site of temporary ileostomy closure (PRINCESS Study): Preliminary Results.Hernia : the journal of hernias and abdominal wall surgery · 2025Observational
- Long-term outcome of prophylactic biosynthetic mesh reinforcement at the time of loop ileostomy reversal for colorectal cancer- results of a case-matched study.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- The rate of ileostomy site incisional hernias: more common than we think?Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Prophylactic Biosynthetic Retrorectus Mesh Placement During Stoma Reversal Reduces the Rate of Stoma Site Incisional Hernia.The Permanente journal · 2024Observational
- PHaLIR: prevent hernia after loop ileostomy reversal-a study protocol for a randomized controlled multicenter study.Trials · 2023Article
- Predictors of hernia after loop ileostomy closure: a single-center retrospective review.International journal of colorectal disease · 2020Article
- Stoma closure and reinforcement (SCAR): A study protocol for a pilot trial.Contemporary clinical trials communications · 2020Article
- Hernia at the stoma site after loop ileostomy reversal.International journal of colorectal disease · 2020Article
- Incidence and risk factors for incisional hernia after temporary loop ileostomy closure: choosing candidates for prophylactic mesh placement.Hernia : the journal of hernias and abdominal wall surgery · 2020Observational
- Incidence of and risk factors for incisional hernia after closure of temporary ileostomy for colorectal malignancy.Hernia : the journal of hernias and abdominal wall surgery · 2019Article
- Incisional hernia at the site of stoma reversal-incidence and risk factors in a retrospective observational analysis.International journal of colorectal disease · 2019Observational
- Purse-string closure technique reduces the incidence of incisional hernias following the reversal of temporary ileostomy.International journal of colorectal disease · 2018Article
- Parastomal gallbladder hernia in a septic patient.Radiology case reports · 2017Article
Corrections and comments
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWounds resulting from the closure of temporary stomas have a high risk of developing an incisional hernia (IH) with incidences around 30% in studies designed to investigate this outcome. A temporary diverting ileostomy (TDI) is often used in patients after low anterior resection (LAR) for rectal cancer.
methodsThe OSTRICH study is a retrospective cohort study of rectal cancer patients who had a LAR with a reversed TDI and at least one CT scan during follow-up. Two radiologists independently evaluated all abdominal CT scans to diagnose IH at the ileostomy wound and additionally, IH at the laparotomy site.
resultsFrom the oncological database of rectal cancer patients treated from 2003 till 2012 (n = 317) a cohort of 153 patients that fulfilled the inclusion criteria was identified. Rectal cancer resection was performed by laparoscopy in 53 patients (34.6%) and by laparotomy in 100 patients (65.4%). A total of 17 IH (11.1%) was diagnosed at the former stoma site after a mean follow-up of 2.6 years. Of these, 8 IH were in patients who had a laparoscopic LAR (15.1%) and 9 IH in patients who had an open LAR (9.0%) (Fisher's exact test; p = 0.28). IH on the other abdominal wall incisions was reported in 69 patients (45.1%). Of these, 10 patients underwent laparoscopic rectal surgery (18.9%) and in 59 patients had open rectal surgery (59.0%) (Fisher's exact test; p < 0.0001).
conclusionWe found a lower number of incisional hernias (11.1%) after reversal of ileostomies than expected from the literature. In contrast to the findings at the ileostomy site, a very high frequency of IH (59.0%) after LAR by laparotomy was found, which was significantly higher than after laparoscopic LAR.
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