Evidence map›Paper›PMID 39966126›Full record

ArticleSurgical endoscopy2025

Risk factors and timing of incisional hernia development following ostomy reversal: a retrospective analysis.

Authors Steven Y Xu, Jessica Zhou, Brianne E Sherman, Carrie Y Peterson, Matthew I Goldblatt

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Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Authors Steven Y XuMedical College of Wisconsin, Wauwatosa, WI, 53226, USA.
Jessica ZhouMedical College of Wisconsin, Wauwatosa, WI, 53226, USA.
Brianne E ShermanMedical College of Wisconsin, Wauwatosa, WI, 53226, USA.
Carrie Y PetersonMedical College of Wisconsin, Wauwatosa, WI, 53226, USA.
Matthew I GoldblattMedical College of Wisconsin, Wauwatosa, WI, 53226, USA. mgoldbla@mcw.edu.ORCID 0000-0001-7260-9630

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFormer stoma-site incisional hernia (FSH) is a common complication after ostomy reversal, with a variable reported incidence of up to 50%. Current literature suggests that FSH is underreported due to the lack of a definitive understanding of the timeline of its occurrence and recurrence, making FSH prevention a clinical dilemma. This study identifies FSH risk factors and diagnostic timeline to aid surgeons' clinical decision-making.

methodsA retrospective chart review was conducted on 340 patients who underwent ostomy reversal between January 1, 2016, and December 31, 2021. Data collected include demographics, medical history, course of ostomy treatment, and hernia diagnosis. Logistic regression and Kaplan-Meier analysis were used to identify risk factors and understand the timeline of hernia occurrence.

resultsThe total incidence of hernia, including patients who had a parastomal hernia before ostomy reversal, FSH after reversal, or both, was 38.8%. The incidence of former stoma-site hernia alone was 24.4%. Significant risk factors identified were elevated BMI, presence of parastomal hernia, hypertension, diabetes, immunosuppression, and the emergency nature of the case. Kaplan-Meier analysis showed that patients with either parastomal hernia prior to ostomy reversal or obesity had a greater than 35% likelihood of being diagnosed with FSH within the first 2 years following reversal. Other risk factors, including chemotherapy, radiation therapy, ostomy history, hernia history, smoking, and type of ostomy, lacked significance. The median time between ostomy reversal and the first FSH diagnosis was 295 days, and 84.3% of the cases were diagnosed within the first 2 years.

conclusionPatients with ostomy are at substantial risk of developing FSH throughout the entire span of ostomy treatment. Patients with a high BMI, a parastomal hernia before ostomy closure, diabetes, and hypertension are at even higher risk of developing FSH.

Indexed as

Incisional HerniaOstomyAdultAgedFemaleHumansIncidenceMaleMiddle AgedRetrospective StudiesRisk FactorsTime FactorsColostomyIleostomyIncisional herniaParastomal herniaPostoperative complicationsSurgical stomas

Identifiers

PMID39966126

What OpenQuestion holds

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Registered trials

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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.