ArticleInternational journal of colorectal disease2019
Parastomal hernias causing symptoms or requiring surgical repair after colorectal cancer surgery-a national population-based cohort study.
Article in International journal of colorectal disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Parastomal Hernia: direct repair versus relocation: is stoma relocation worth the risk? A comparative meta-analysis and systematic review.Updates in surgery · 2026Pooled it
- Rectus abdominis muscle atrophy, prophylactic mesh, and stoma placement: retrospective findings from a prospective multicenter trial.Hernia : the journal of hernias and abdominal wall surgery · 2025Trial
- Integration of Clinical Risk Factors With Radiological Metrics Associated With PSH: The Impact of Stoma Site Features, Obesity and Muscle Atrophy.ANZ journal of surgery · 2026Article
- Long-term outcomes of open local onlay mesh parastomal hernia repair with ostomy revision.Surgical endoscopy · 2026Article
- Extraperitoneal colostomy reduces parastomal hernia after laparoscopic abdominoperineal resection: a propensity score-matched study.International journal of colorectal disease · 2026Article
- Laparoscopic Sugarbaker Repair of Parastomal Hernia with Gastric Incarceration: A Case Report and Review of the Literature.Surgical case reports · 2026Article
- The Local Parastomal Hernia (LoPa) Repair: A Novel Approach to Parastomal Hernia Repair.Journal of abdominal wall surgery : JAWS · 2025Article
- Proof of concept of an experimental prototype for the prevention of parastomal hernia.Updates in surgery · 2024Article
- Bariatric Surgery in Patients with Existing Ostomy: A Preliminary Feasibility Study.Bariatric surgical practice and patient care · 2022Article
- Use of prophylactic stoma mesh is a risk factor for developing rectus abdominis muscle atrophy.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- The lateral rectus abdominis positioned stoma (LRAPS) in the construction of end colostomies, loop ileostomies and ileal conduits.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Current Management of Intestinal Stomas and Their Complications.Journal of the anus, rectum and colon · 2020Review
- Risk Factors for the Development of Parastomal Hernia: A Narrative Review.Saudi journal of medicine & medical sciencesReview
- Massive Colostomy Prolapse with an Intrastomal Ileal Hernia: A Case Report.Case reports in gastroenterologyArticle
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeParastomal hernia is a complication with high morbidity that affects the patient's quality of life. The aim of this study was to assess the cumulative incidence of parastomal hernia in patients who have undergone colorectal cancer surgery and to identify potential risk factors that could predispose to the development of this type of hernia in a large population-based cohort over a long follow-up period.
methodsThe Swedish Colorectal Cancer Registry and the National Patient Register were used to collect study cohort data between January 2007 and September 2013. All patients undergoing colorectal cancer surgery including a permanent stoma were included in the study group.
resultsA total of 39,984 patients were registered during the study period. Of these, 7649 received a permanent stoma. Multivariate proportional hazard analysis, based on 6329 patients for whom all covariates could be retrieved, showed that the only independent risk factor for developing a parastomal hernia was BMI ≥ 30 (HR 1.49; 95% CI 1.02-2.17; p < 0.037). A slightly elevated hazard ratio was found for preoperative radiotherapy (HR 1.36; 95% CI 0.96-1.91; p < 0.070). The cumulative incidence of patients diagnosed or surgically treated for parastomal hernia over a follow-up period of 5 years was 7.7% (95% CI 6.1-9.2%).
conclusionsThe cumulative incidence of parastomal hernia causing symptoms or requiring surgery after 5 years was at least 7.7%. Obesity increases the risk of developing parastomal hernia.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.