ArticleBMC surgery2020
Risk factors for parastomal hernia of loop stoma and relationships with other stoma complications in laparoscopic surgery era.
Article in BMC surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 5 of them syntheses that pooled it.
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12 citing papers in PubMed, 5 syntheses or guidelines pooled it, 26 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
- Minimally Invasive Versus Open Parastomal Hernia Repair: A Comprehensive Systematic Review and Meta-Analysis.World journal of surgery · 2025Pooled it
- Influence of continuous nursing on surgical site wound infection and postoperative complication for colorectal cancer patients with stoma: A meta-analysis.International wound journal · 2024Pooled it
- A systematic review of patient risk factors for complications following stoma formation among adults undergoing colorectal surgery.International journal of colorectal disease · 2023Pooled it
- Risk factors for the development of a parastomal hernia in patients with enterostomy: a systematic review and meta-analysis.International journal of colorectal disease · 2022Pooled it
- Comparison of recurrence and quality-of-Life outcomes after robotic versus laparoscopic parastomal hernia repair: a retrospective analysis of the abdominal core health quality collaborative.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Preoperative thickness and postoperative atrophy of the abdominal rectus muscle as risk factors for parastomal hernia after colostomy creation.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- A risk prediction model based on machine learning algorithm for parastomal hernia after permanent colostomy.BMC medical informatics and decision making · 2024Article
- Complications associated with loop ileostomy: analysis of risk factors.Techniques in coloproctology · 2024Article
- Permanent stoma rate and long-term stoma complications in laparoscopic, robot-assisted, and transanal total mesorectal excisions: a retrospective cohort study.Surgical endoscopy · 2024Article
- Small-bowel plication prevents ileostomy prolapse in young children with inflammatory bowel disease.Pediatric surgery international · 2023Article
- Risk Factors for the Development of Parastomal Hernia: A Narrative Review.Saudi journal of medicine & medical sciencesReview
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic approach is now a widespread technique used worldwide, but there are few recent studies on risk factors for parastomal hernia. Therefore, this study was performed to analyze the incidence of parastomal hernia in laparoscopic and open surgery in which a loop stoma was created and was intended to be temporary, and to determine risk factors for parastomal hernia formation. Associations between parastomal hernia and other stoma-related complications were also analyzed.
methodsA retrospective analysis of patient and surgical characteristics was performed in 153 consecutive patients who underwent a temporary diverting loop ileostomy or colostomy after surgery related to malignant diseases at our hospital from January to December 2016.
resultsParastomal hernia developed in 77 cases (50.3%), including 39 (25.5%) diagnosed by physical examination and 38 (24.8%) detected by CT alone. On multivariate analysis, a stoma not passing through the middle of the rectus abdominis muscle was the only independent risk factor for parastomal hernia formation (p = 0.005) during the median follow-up of 245.0 days. When we analyzed the factors that were associated with a stoma not passing through the middle of the rectus abdominis muscle, the only independent factor associated with this misplacement of the stoma was a laparoscopic approach (p = 0.012). An analysis of stoma-related complications showed that peristomal skin disorders were significantly associated with parastomal hernia (p = 0.049).
conclusionsThis study showed that a stoma that is not formed through the middle of the rectus abdominis muscle is a risk factor for parastomal hernia formation, and that a laparoscopic approach is associated with this risk factor. Moreover, parastomal hernia is significantly associated with peristomal skin disorders.
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