SynthesisInternational journal of colorectal disease2022
Risk factors for the development of a parastomal hernia in patients with enterostomy: a systematic review and meta-analysis.
Synthesis in International journal of colorectal disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.
What it found
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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
28 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Robotic-assisted surgery for parastomal hernia repair: a systematic review and meta-analysis.Journal of robotic surgery · 2026Pooled it
- Comparison of different mesh placement techniques for parastomal hernia repair: an updated systematic review and network meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled 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
- Incidence of parastomal hernia after open versus minimally invasive surgery: a comparative systematic review.Surgical endoscopy · 2026Article
- Parastomal Hernia: Rethinking Prevention and Repair in Contemporary Colorectal Surgery.ANZ journal of surgery · 2026Article
- 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
- Validation of a rat parastomal hernia model for evaluating mesh biocompatibility and repair outcomes.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Development and validation of a prognostic model for the occurrence of parastomal hernia in patients undergoing permanent colostomy based on various computed tomography indices.Surgical endoscopy · 2026Article
- Best Evidence Summary of Preoperative Management for Patients Undergoing Intestinal Stoma Surgery.Journal of multidisciplinary healthcare · 2026Review
- Prophylactic Operative Interventions for Preventing Parastomal Hernias after Colorectal Surgery.Clinics in colon and rectal surgery · 2026Review
- 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
- Prediction of parastomal hernia in patients undergoing preventive ostomy after rectal cancer resection using machine learning.World journal of gastrointestinal surgery · 2025Article
- Pregnancy With a Stoma is Feasible, Though Associated With Manageable Complications.Inflammatory bowel diseases · 2025Article
- Fascial incision shapes and paracolostomy hernia: cruciate vs. reinforced longitudinal (the "Hepworth hitch"): longcross randomized controlled trial (GECO2 STUDY).International journal of colorectal disease · 2025Article
- Risk factors for parastomal hernia following abdominoperineal resection.Frontiers in oncology · 2025Article
- The TRAPPIST Repair: A Novel TRAnsabdominal PrePeritoneal Intervention for ParaSTomal Hernias - Case Report With Video-Vignette.Journal of abdominal wall surgery : JAWS · 2025Article
- Risk factors for complications after infantile enterostomy: development of a clinical prediction model.Frontiers in public health · 2025Article
- Stoma Complications.Clinics in colon and rectal surgery · 2024Review
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeParastomal hernia (PSH) is a common and serious complication in patients with enterostomy, but there is no current consensus for the risk factors for PSH from previous studies. Therefore, this study systematically analyzed the risk factors for PSH to provide a reference for prevention and treatment of this condition.
methodsSeven databases and 3 registers were systematically searched from database inception to January, 2021. Study quality was assessed by Newcastle-Ottawa Scale. Review Manager 5.3 software was used for statistical analysis. The data that could not be combined quantitatively were only analyzed qualitatively.
resultsSixteen studies with 2031 patients were included. Higher BMI (OR, 1.29; 95% CI,1.02-1.63), older age (OR, 1.04; 95% CI, 1.02-1.07), female (OR, 2.55; 95% CI,1.39-4.67), lager aperture size (OR, 2.8; 95%CI, 1.78-4.42), transperitoneal stoma creation (OR, 2.4; 95% CI, 1.33-4.35), and lager waist circumference (OR, 1.01; 95% CI,1.0-1.01) were significant risk factors for PSH. The laparoscopic approach was not a risk factor for PSH (OR, 2.09; 95% CI, 0.83-5.27). Other risk factors, including the thickness of abdominal subcutaneous fat, no mesh, a stoma not through the middle of the rectus abdominis, atrophy of left lower medial part of rectus abdominis, α1(III) procollagen expression level, emergency surgery, no preoperative stoma site marking, end colostomy, smoking, diabetes, peristomal infection, severe abdominal distention, severe cough, chronic obstructive pulmonary disease, operation time and hypertension, were significant on the multivariate analysis of each individual study.
conclusionsThe current available evidence showed that higher BMI, older age, female, larger aperture size, the creation of a transperitoneal stoma, and a larger waist circumference were independent risk factors for PSH. For factors without exact cutoff value, further explorations are needed in the future. In addition, reference to the limited number of studies in the pooled analysis, these factors still need to be interpreted carefully.
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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.