ArticleHernia : the journal of hernias and abdominal wall surgery2021
Should simultaneous stoma closure and incisional hernia repair be avoided?
Article in Hernia : the journal of hernias and abdominal wall surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 14 citations in OpenAlex.
- Advances in Intestinal Restoration and Abdominal Wall Reconstruction in Bogotá: A Two-Stage Approach During the Same Hospitalization.Journal of abdominal wall surgery : JAWS · 2026Article
- Current approach to loop ileostomy closure: a nationwide survey on behalf of the Italian Society of ColoRectal Surgery (SICCR).Updates in surgery · 2025Article
- Simultaneous incisional hernia repair and colorectal surgery: one or two-step procedure?Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Repair of umbilical hernias concomitant to other procedures is safe: a propensity score-matched database study.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Component separation repair of incisional hernia: evolution of practice and review of long-term outcomes in a single center.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Simultaneous stoma closure and type IV parastomal hernia repair after botulinum toxin and progressive pneumoperitoneum.Journal of surgical case reports · 2023Article
- Single-staged retromuscular abdominal wall reconstruction with mesh at the time of ostomy reversal: are we crossing the line? An ACHQC Analysis.Surgical endoscopy · 2023Article
- Gastrointestinal procedures and anastomoses can be safely performed during complex abdominal wall reconstruction.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Article
- Simultaneous Treatment of Complex Incisional Hernia and Stoma Reversal.Journal of abdominal wall surgery : JAWS · 2023Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePatients scheduled for stoma closure may also have an incisional hernia. Studies have reported acceptable outcomes after contaminated ventral hernia repair, but whether stoma closure and incisional hernia repair should be performed as a combined procedure is unknown. This study examined combined stoma closure and incisional hernia repair compared with incisional hernia repair only.
methodsThis was a nationwide propensity-score matched study. Patients who underwent elective incisional hernia repair from 2007-2017 were identified in the Danish Hernia Database. All patients who underwent concurrent stoma closure were matched 1:3 with patients who underwent incisional hernia repair only. The primary outcome was reoperation for hernia recurrence, whereas secondary outcomes included anastomotic leakage, length of hospital stay, and 30-day reoperation and readmission rates.
resultsIn total, 516 patients were included. The risk of reoperation for recurrence was increased after concurrent stoma closure compared with incisional hernia repair only (hazard ratio 1.69, 95% confidence interval 1.01-2.82, p = 0.044). Seven (5.4%) patients who underwent incisional hernia repair concurrent to stoma closure were reoperated for anastomotic leakage. Length of hospital stay and reoperation rates within 30 days were increased after concurrent stoma closure compared with incisional hernia repair only (median 8 versus 3 days, p < 0.001 and 29.5% versus 18.6%, p = 0.013), whereas there was no difference in 30-day readmission rates (p = 0.251).
conclusionsStoma closure and incisional hernia repair should be performed as a dual-stage procedure to decrease the risk of hernia recurrence.
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