Evidence map›Paper›PMID 42165854›Full record

ArticleSurgery today2026

Effectiveness of a three-layer closure technique for preventing stoma-site incisional hernia after stoma closure in patients with rectal cancer.

Yasuhiro Takano, Yasuhiro Takeda, Keisuke Goto, Teppei Kamada, Shu Tsukihara, Yasunobu Kobayashi, Yuta Imaizumi, Shunjin Ryu, Masahisa Ohkuma, Makoto Kosuge and 1 more

Abstract readComparative Study
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In one paragraph

Article in Surgery today, 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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0citing papers in PubMed
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1 · What the graph read from it

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.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Yasuhiro TakanoDepartment of Surgery, The Jikei University School of Medicine, 3-25-8, Nishi- Shimbashi, Minato-ku, Tokyo, 105-8461, Japan. y.takano1864@jikei.ac.jp.ORCID http://orcid.org/0000-0001-7474-3833
Yasuhiro TakedaDepartment of Surgery, The Jikei University School of Medicine, 3-25-8, Nishi- Shimbashi, Minato-ku, Tokyo, 105-8461, Japan.
Keisuke GotoDepartment of Surgery, The Jikei University School of Medicine, 3-25-8, Nishi- Shimbashi, Minato-ku, Tokyo, 105-8461, Japan.
Teppei KamadaDepartment of Surgery, The Jikei University School of Medicine, 3-25-8, Nishi- Shimbashi, Minato-ku, Tokyo, 105-8461, Japan.
Shu TsukiharaDepartment of Surgery, The Jikei University School of Medicine, 3-25-8, Nishi- Shimbashi, Minato-ku, Tokyo, 105-8461, Japan.
Yasunobu KobayashiDepartment of Surgery, The Jikei University School of Medicine, 3-25-8, Nishi- Shimbashi, Minato-ku, Tokyo, 105-8461, Japan.
Yuta ImaizumiDepartment of Surgery, The Jikei University School of Medicine, 3-25-8, Nishi- Shimbashi, Minato-ku, Tokyo, 105-8461, Japan.
Shunjin RyuDepartment of Surgery, The Jikei University School of Medicine, 3-25-8, Nishi- Shimbashi, Minato-ku, Tokyo, 105-8461, Japan.
Masahisa OhkumaDepartment of Surgery, The Jikei University School of Medicine, 3-25-8, Nishi- Shimbashi, Minato-ku, Tokyo, 105-8461, Japan.
Makoto KosugeDepartment of Surgery, The Jikei University School of Medicine, 3-25-8, Nishi- Shimbashi, Minato-ku, Tokyo, 105-8461, Japan.
Ken EtoDepartment of Surgery, The Jikei University School of Medicine, 3-25-8, Nishi- Shimbashi, Minato-ku, Tokyo, 105-8461, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeStoma-site incisional hernia is a concerning complication following ileostomy closure. We conducted this study to investigate the effectiveness of a three-layer closure technique for preventing stoma-site incisional hernia after ileostomy closure in patients with rectal cancer.

methodsThis single-center pre-post comparative study included 169 patients who underwent diverting loop ileostomy closure after rectal cancer surgery between April 2016 and May 2025. The three-layer closure technique replaced the single-layer technique in July 2020, and the outcomes before and after this change were compared. Firth-corrected multivariate analysis was performed to identify independent risk factors for stoma-site incisional hernia.

resultsStoma-site incisional hernias developed in 12 patients (7.1%). The incidence of stoma-site incisional hernia was significantly lower in the three-layer closure group than in the single-layer closure group (1.1% vs. 13%, P = 0.002). The Firth-corrected multivariate analysis identified that the three-layer closure technique (odds ratio 0.12, 95% confidence interval 0.01-0.55, P = 0.004) was an independent protective factor.

conclusionsThe three-layer closure technique reduced stoma-site incisional hernia significantly after ileostomy closure in patients with rectal cancer, suggesting that anatomically layered reconstruction provides superior abdominal wall integrity to single-layer closure.

Indexed as

IleostomyIncisional HerniaPostoperative ComplicationsRectal NeoplasmsSurgical StomasWound Closure TechniquesAgedColorectal Surgical ProceduresFemaleHumansIncidenceMaleMiddle AgedRisk FactorsTreatment OutcomeIncisional herniaRectal cancerStoma closureStoma siteThree-layer closure

Identifiers

PMID42165854

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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.