ArticleBJS open2018
Incidence of and risk factors for stoma-site incisional herniation after reversal.
Article in BJS open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 4 of them syntheses that pooled it.
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The trial behind it
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
24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 40 citations in OpenAlex.
- Prophylactic mesh at stoma reversal reduces incisional hernia without increasing early complications: a systematic review and meta-analysis of randomised trials.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- Reversal of stoma with biosynthetic mesh fascial reinforcement: a systematic review and meta-analysis.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024Pooled it
- 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
- Closure of stoma site with or without prophylactic mesh reinforcement: a systematic review and meta-analysis.International journal of colorectal disease · 2020Pooled it
- Prevention of Incisional Hernias With Prophylactic Synthetic Mesh Placement During Stoma Reversal: A Randomized Clinical Trial.JAMA surgery · 2025Trial
- Risk factors for stoma-site incisional hernia after ileostomy reversal: impact of fascial suture material.Surgery today · 2026Article
- Incidence, risk factors, and a predictive nomogram for stoma-site incisional hernia after ileostomy reversal: A retrospective study.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- 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
- The rate of ileostomy site incisional hernias: more common than we think?Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- An Institutional Shift from Routine to Selective Diversion of Low Anastomosis in Robotic TME Surgery for Rectal Cancer Patients Using the KHANS Technique: A Single-Centre Cohort Study.Journal of personalized medicine · 2024Article
- Reinforced tissue matrix to strengthen the abdominal wall following reversal of temporary ostomies or to treat incisional hernias.World journal of gastrointestinal surgery · 2024Article
- Perioperative Factors Affecting the Healing of Rectovaginal Fistula.Journal of clinical medicine · 2023Review
- PHaLIR: prevent hernia after loop ileostomy reversal-a study protocol for a randomized controlled multicenter study.Trials · 2023Article
- Incidence, risk factors, and predictive modeling of stoma site incisional hernia after enterostomy closure: a multicenter retrospective cohort study.BMC gastroenterology · 2023Article
- When to use a prophylactic mesh after stoma closure: a case-control study.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- Surgical treatment of stoma-related hernias: retrospective cohort study of damage claims to the Swedish National Patient Insurance Company 2010-2016.BMC surgery · 2021Article
- Post surgical rectovaginal fistula: who really benefits from stoma diversion?Updates in surgery · 2021Article
- 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
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStoma reversal is often considered a straightforward procedure with low short-term complication rates. The aim of this study was to determine the rate of incisional hernia following stoma reversal and identify risk factors for its development.
methodsThis was an observational study of consecutive patients who underwent stoma reversal between 2009 and 2015 at a teaching hospital. Patients followed for at least 12 months were eligible. The primary outcome was the development of incisional hernia at the previous stoma site. Independent risk factors were assessed using multivariable logistic regression analysis.
resultsAfter a median follow-up of 24 (range 12-89) months, 110 of 318 included patients (34·6 per cent) developed an incisional hernia at the previous stoma site. In 85 (77·3 per cent) the hernia was symptomatic, and 72 patients (65·5 per cent) underwent surgical correction. Higher BMI (odds ratio (OR) 1·12, 95 per cent c.i. 1·04 to 1·21), stoma prolapse (OR 3·27, 1·04 to 10·27), parastomal hernia (OR 5·08, 1·30 to 19·85) and hypertension (OR 2·52, 1·14 to 5·54) were identified as independent risk factors for the development of incisional hernia at the previous stoma site. In addition, the risk of incisional hernia was greater in patients with underlying malignant disease who had undergone a colostomy than in those who had had an ileostomy (OR 5·05, 2·28 to 11·23).
conclusionIncisional hernia of the previous stoma site was common and frequently required surgical correction. Higher BMI, reversal of colostomy in patients with an underlying malignancy, stoma prolapse, parastomal hernia and hypertension were identified as independent risk factors.
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Registered trials
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