Evidence map›Paper›PMID 41995917›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2026

Incidence, risk factors, and a predictive nomogram for stoma-site incisional hernia after ileostomy reversal: A retrospective study.

Xinghua Liu, Jixuan Shuai, Dianshi Wang, Shaofei Chen

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Article in Hernia : the journal of hernias and abdominal wall surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 authors.

Xinghua Liu *Department of Gastrointestinal Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
Jixuan Shuai *School of Basic Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
Dianshi WangDepartment of Gastrointestinal Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. dianshiwang@hust.edu.cn.
Shaofei ChenDepartment of Gastrointestinal Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. chensf_uh@hust.edu.cn.ORCID http://orcid.org/0009-0009-6222-6885

Funding

Free innovation fund of Wuhan Union Hospital 2020xhyn022Hubei Provincial Natural Science Foundation of China 2025AFB626
6 · The paper itself

Abstract

purposeThe incidence of stoma-site incisional hernia (SSIH) in rectal cancer patients varies widely in the literature. This study aimed to determine the incidence of SSIH, identify its risk factors, investigate the impact of adjuvant therapy, and subsequently develop a predictive model.

methodsThis was a single-centre, retrospective study involving consecutive patients who underwent radical resection for rectal carcinoma with temporary diverting loop ileostomy and subsequent stoma reversal at our centre from 2020 to 2024. Patient demographic characteristics, comorbidities, operative data, and follow-up information were collected. Logistic univariate and multivariate analyses were used to identify the risk factors for SSIH, following which we constructed a nomogram for SSIH prediction.

results331 patients were enrolled in the study, the incidence of stoma site incisional hernia was 24.8% (82/331). Multivariate analysis identified advanced age (≥ 65 years), body mass index (BMI) ≥ 24 kg/m

conclusionA nomogram based on perioperative patient factors was constructed to predict the occurrence of stoma site incisional hernia (SSIH) after ileostomy reversal in rectal cancer patients. The nomogram demonstrated strong predictive performance and good calibration, providing clinicians with a valuable tool to identify high-risk patients and implement targeted preventive strategies.

Indexed as

IleostomyIncisional HerniaNomogramsRectal NeoplasmsSurgical StomasAgedFemaleHumansIncidenceMaleMiddle AgedRetrospective StudiesRisk FactorsSurgical Wound InfectionIleostomy reversalRectal cancerRisk factorStoma-site incisional hernia

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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.