ArticleHernia : the journal of hernias and abdominal wall surgery2025
Preoperative thickness and postoperative atrophy of the abdominal rectus muscle as risk factors for parastomal hernia after colostomy creation.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeParastomal hernia (PSH) is a common and often burdensome stoma complication. Surgical repair carries high morbidity and mortality. Hence, prevention of PSH formation would be ideal, which requires better understanding of risk factors. We aimed to examine the role of abdominal rectus muscle (ARM) thickness and its postoperative atrophy in PSH pathogenesis. We hypothesised that a thin ARM upon stoma creation is a risk factor for PSH development, and that patients developing PSH show a higher degree of postoperative ARM atrophy compared to patients without PSH.
methodsRadiological bilateral ARM measurements on 205 patients, before and after rectal cancer surgery with Hartmann's procedure or abdominoperineal resection, among Swedish patients recruited retrospectively from the Swedish Colorectal Cancer Registry. Hypotheses were tested using t-test and multivariable logistic regression.
resultsPatients developing PSH had a greater degree of ARM atrophy than hernia-free patients (-3.2 mm [-36.4%] vs. -1.6 mm [-18.2%]; p = 0.002). Postoperative ARM atrophy (OR 1.17; 95% CI 1.05-1.31, p = 0.006), body mass index (OR 1.15; 95% CI 1.06-1.24, p < 0.001) and laparoscopic approach (OR 2.60; 95% CI 1.27-5.31, p = 0.009) were independent risk factors for PSH in the multivariable model. Preoperative anteroposterior thickness of the ARM was not found to be a risk factor.
conclusionPatients developing PSH had a more pronounced atrophy of the ipsilateral ARM than patients without PSH. A thinner ARM preoperatively did not increase the risk for PSH. Further research should focus on what causes postoperative ARM atrophy.
Indexed as
Identifiers
What OpenQuestion holds
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.