Clinical analysis of the related risk factors for parastomal hernia after Miles operation_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

ZHU Lele ^1,2 , WANG Feitong ¹ , LIU Xing ¹ , WEI Xin ¹ , NIU Jian ¹ ,  LIU Bin ¹

1. Department of General Surgery, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu 221006, P. R. China;
2. The Graduate School of Xuzhou Medical University, Xuzhou, Jiangsu 221002, P. R. China;

Corresponding author：

LIU Bin, Email: xyfyzlwk@163.com

Keywords：

parastomal hernia; Miles operation; rectal cancer; risk factor

DOI：

10.7507/1007-9424.201801041

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the risk factors associated with the formation of parastomal hernia after Miles operation, and to provide scientific evidence for the prevention of parastomal hernia. Methods The clinical data of 218 patients with rectal cancer who undergoing Miles operation in the Affiliated Hospital of Xuzhou Medical University between May 2011 and May 2015 were analyzed retrospectively. Fifteen possible factors affecting the occurrence of parastomal hernia were selected. The fifteen related factors were analyzed by single factor analysis and two elements logistic regression analysis. Results A total of 55 patients with parostomy hernia occurred in 218 patients during follow-up period, and the incidence of parastomal hernia was 25.23%. Univariate analysis showed that age, thickness of subcutaneous fat in abdomen, BMI, stoma pathway, and hypertension were related to the formation of parastomal hernia after Miles operation (P<0.05). Further two elements logistic regression analysis showed that, advanced age, thickness of subcutaneous fat in abdomen, BMI>25 kg/m², and transperitoneal were independent risk factors for the formation of parastomal hernia after Miles operation (P<0.05). Conclusion For patients with risk factors, it is very important to choose optimum stoma pathway during Miles operation to avoid the occurrence of formation of parastomal hernia after Miles operation.

Citation： ZHU Lele, WANG Feitong, LIU Xing, WEI Xin, NIU Jian, LIU Bin. Clinical analysis of the related risk factors for parastomal hernia after Miles operation. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2018, 25(8): 964-969. doi: 10.7507/1007-9424.201801041 Copy

1.	Antoniou SA, Agresta F, Garcia Alamino JM, et al. European hernia society guidelines on prevention and treatment of parastomal hernias. Hernia, 2018, 22(1): 183-198.
2.	van Dijk SM, Timmermans L, Deerenberg EB, et al. Parastomal hernia: impact on quality of life? World J Surg, 2015, 39(10): 2595-2601.
3.	Hansson BM, Bleichrodt RP, de Hingh IH. Laparoscopic parastomal hernia repair using a keyhole technique results in a high recurrence rate. Surg Endosc, 2009, 23(7): 1456-1459.
4.	Amin SN, Armitage NC, Abercrombie JF, et al. Lateral repair of parastomal hernia. Ann R Coll Surg Engl, 2001, 83(3): 206-208.
5.	Hansson BM, Slater NJ, van der Velden AS, et al. Surgical techniques for parastomal hernia repair: a systematic review of the literature. Ann Surg, 2012, 255(4): 685-695.
6.	Kouba E, Sands M, Lentz A, et al. Incidence and risk factors of stomal complications in patients undergoing cystectomy with ileal conduit urinary diversion for bladder cancer. J Urol, 2007, 178(3 Pt 1): 950-954.
7.	Sohn YJ, Moon SM, Shin US, et al. Incidence and risk factors of parastomal hernia. J Korean Soc Coloproctol, 2012, 28(5): 241-246.
8.	Kojima K, Nakamura T, Sato T, et al. Risk factors for parastomal hernia after abdominoperineal resection for rectal cancer. Asian J Endosc Surg, 2017, 10(3): 276-281.
9.	Śmietański M, Szczepkowski M, Alexandre JA, et al. European hernia society classification of parastomal hernias. Hernia, 2014, 18(1): 1-6.
10.	赵玉沛, 姜洪池. 普通外科学. 第 2 版. 北京: 人民卫生出版社, 2014 : 182-190.
11.	Temple B, Farley T, Popik K, et al. Prevalence of parastomal hernia and factors associated with its development. J Wound Ostomy Continence Nurs, 2016, 43(5): 489-493.
12.	Canda AE, Terzi C, Agalar C, et al. Preventing parastomal hernia with modified stapled mesh stoma reinforcement technique (SMART) in patients who underwent surgery for rectal cancer: a case-control study. Hernia, 2018(2):1-6.
13.	Glasgow SC, Dharmarajan S. Parastomal hernia: avoidance and treatment in the 21^st century. Clin Colon Rectal Surg, 2016, 29(3): 277-284.
14.	Guarnero V, Hoffmann H, Hetzer F, et al. A new stomaplasty ring (Koring^TM) to prevent parastomal hernia: an observational multicenter Swiss study. Tech Coloproctol, 2016, 20(5): 293-297.
15.	Mylonakis E, Scarpa M, Barollo M, et al. Life table analysis of hernia following end colostomy construction. Colorectal Dis, 2001, 3(5): 334-337.
16.	Ripoche J, Basurko C, Fabbro-Perray P, et al. Parastomal hernia. A study of the French federation of ostomy patients. J Visc Surg, 2011, 148(6):e435-441.
17.	Williams JG, Etherington R, Hayward MW, et al. Paraileostomy hernia: a clinical and radiological study. Br J Surg, 1990, 77(12): 1355-1357.
18.	Vierimaa M, Klintrup K, Biancari F, et al. Prospective, randomized study on the use of a prosthetic mesh for prevention of parastomal hernia of permanent colostomy. Dis Colon Rectum, 2015, 58(10): 943-949.
19.	Serra-Aracil X, Bombardo-Junca J, Moreno-Matias J, et al. Randomized, controlled, prospective trial of the use of a mesh to prevent parastomal hernia. Ann Surg, 2009, 249(4): 583-587.
20.	Gurmu A, Matthiessen P, Nilsson S, et al. The inter-observer reliability is very low at clinical examination of parastomal hernia. Int J Colorectal Dis, 2011, 26(1): 89-95.
21.	Cingi A, Cakir T, Sever A, et al. Enterostomy site hernias: a clinical and computerized tomographic evaluation. Dis Colon Rectum, 2006, 49(10): 1559-1563.
22.	Carne PW, Robertson GM, Frizelle FA. Parastomal hernia. Br J Surg, 2003, 90(7): 784-793.
23.	Funahashi K, Suzuki T, Nagashima Y, et al. Risk factors for parastomal hernia in Japanese patients with permanent colostomy. Surg Today, 2014, 44(8): 1465-1469.
24.	Kanehisa H, Miyatani M, Azuma K, et al. Influences of age and sex on abdominal muscle and subcutaneous fat thickness. Eur J Appl Physiol, 2004, 91(5-6): 534-537.
25.	Lapidus L, Bengtsson C, Larsson B, et al. Distribution of adipose tissue and risk of cardiovascular disease and death: a 12 year follow up of participants in the population study of women in Gothenburg, Sweden. Br Med J (Clin Res Ed), 1984, 289(6454): 1257-1261.
26.	Cotlar AM. Historical landmarks in operations on the colon－surgeons courageous. Curr Surg, 2002, 59(1): 91-95.
27.	Goligher JC. Extraperitoneal colostomy or ileostomy. Br J Surg, 1958, 46(196): 97-103.
28.	Lian L, Wu XR, He XS, et al. Extraperitoneal vs. intraperitoneal route for permanent colostomy: a meta-analysis of 1, 071 patients. Int J Colorectal Dis, 2012, 27(1): 59-64.
29.	Hino H, Yamaguchi T, Kinugasa Y, et al. Relationship between stoma creation route for end colostomy and parastomal hernia development after laparoscopic surgery. Surg Endosc, 2017, 31(4): 1966-1973.

1. Antoniou SA, Agresta F, Garcia Alamino JM, et al. European hernia society guidelines on prevention and treatment of parastomal hernias. Hernia, 2018, 22(1): 183-198.
2. van Dijk SM, Timmermans L, Deerenberg EB, et al. Parastomal hernia: impact on quality of life? World J Surg, 2015, 39(10): 2595-2601.
3. Hansson BM, Bleichrodt RP, de Hingh IH. Laparoscopic parastomal hernia repair using a keyhole technique results in a high recurrence rate. Surg Endosc, 2009, 23(7): 1456-1459.
4. Amin SN, Armitage NC, Abercrombie JF, et al. Lateral repair of parastomal hernia. Ann R Coll Surg Engl, 2001, 83(3): 206-208.
5. Hansson BM, Slater NJ, van der Velden AS, et al. Surgical techniques for parastomal hernia repair: a systematic review of the literature. Ann Surg, 2012, 255(4): 685-695.
6. Kouba E, Sands M, Lentz A, et al. Incidence and risk factors of stomal complications in patients undergoing cystectomy with ileal conduit urinary diversion for bladder cancer. J Urol, 2007, 178(3 Pt 1): 950-954.
7. Sohn YJ, Moon SM, Shin US, et al. Incidence and risk factors of parastomal hernia. J Korean Soc Coloproctol, 2012, 28(5): 241-246.
8. Kojima K, Nakamura T, Sato T, et al. Risk factors for parastomal hernia after abdominoperineal resection for rectal cancer. Asian J Endosc Surg, 2017, 10(3): 276-281.
9. Śmietański M, Szczepkowski M, Alexandre JA, et al. European hernia society classification of parastomal hernias. Hernia, 2014, 18(1): 1-6.
10. 赵玉沛, 姜洪池. 普通外科学. 第 2 版. 北京: 人民卫生出版社, 2014 : 182-190.
11. Temple B, Farley T, Popik K, et al. Prevalence of parastomal hernia and factors associated with its development. J Wound Ostomy Continence Nurs, 2016, 43(5): 489-493.
12. Canda AE, Terzi C, Agalar C, et al. Preventing parastomal hernia with modified stapled mesh stoma reinforcement technique (SMART) in patients who underwent surgery for rectal cancer: a case-control study. Hernia, 2018(2):1-6.
13. Glasgow SC, Dharmarajan S. Parastomal hernia: avoidance and treatment in the 21^st century. Clin Colon Rectal Surg, 2016, 29(3): 277-284.
14. Guarnero V, Hoffmann H, Hetzer F, et al. A new stomaplasty ring (Koring^TM) to prevent parastomal hernia: an observational multicenter Swiss study. Tech Coloproctol, 2016, 20(5): 293-297.
15. Mylonakis E, Scarpa M, Barollo M, et al. Life table analysis of hernia following end colostomy construction. Colorectal Dis, 2001, 3(5): 334-337.
16. Ripoche J, Basurko C, Fabbro-Perray P, et al. Parastomal hernia. A study of the French federation of ostomy patients. J Visc Surg, 2011, 148(6):e435-441.
17. Williams JG, Etherington R, Hayward MW, et al. Paraileostomy hernia: a clinical and radiological study. Br J Surg, 1990, 77(12): 1355-1357.
18. Vierimaa M, Klintrup K, Biancari F, et al. Prospective, randomized study on the use of a prosthetic mesh for prevention of parastomal hernia of permanent colostomy. Dis Colon Rectum, 2015, 58(10): 943-949.
19. Serra-Aracil X, Bombardo-Junca J, Moreno-Matias J, et al. Randomized, controlled, prospective trial of the use of a mesh to prevent parastomal hernia. Ann Surg, 2009, 249(4): 583-587.
20. Gurmu A, Matthiessen P, Nilsson S, et al. The inter-observer reliability is very low at clinical examination of parastomal hernia. Int J Colorectal Dis, 2011, 26(1): 89-95.
21. Cingi A, Cakir T, Sever A, et al. Enterostomy site hernias: a clinical and computerized tomographic evaluation. Dis Colon Rectum, 2006, 49(10): 1559-1563.
22. Carne PW, Robertson GM, Frizelle FA. Parastomal hernia. Br J Surg, 2003, 90(7): 784-793.
23. Funahashi K, Suzuki T, Nagashima Y, et al. Risk factors for parastomal hernia in Japanese patients with permanent colostomy. Surg Today, 2014, 44(8): 1465-1469.
24. Kanehisa H, Miyatani M, Azuma K, et al. Influences of age and sex on abdominal muscle and subcutaneous fat thickness. Eur J Appl Physiol, 2004, 91(5-6): 534-537.
25. Lapidus L, Bengtsson C, Larsson B, et al. Distribution of adipose tissue and risk of cardiovascular disease and death: a 12 year follow up of participants in the population study of women in Gothenburg, Sweden. Br Med J (Clin Res Ed), 1984, 289(6454): 1257-1261.
26. Cotlar AM. Historical landmarks in operations on the colon－surgeons courageous. Curr Surg, 2002, 59(1): 91-95.
27. Goligher JC. Extraperitoneal colostomy or ileostomy. Br J Surg, 1958, 46(196): 97-103.
28. Lian L, Wu XR, He XS, et al. Extraperitoneal vs. intraperitoneal route for permanent colostomy: a meta-analysis of 1, 071 patients. Int J Colorectal Dis, 2012, 27(1): 59-64.
29. Hino H, Yamaguchi T, Kinugasa Y, et al. Relationship between stoma creation route for end colostomy and parastomal hernia development after laparoscopic surgery. Surg Endosc, 2017, 31(4): 1966-1973.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical analysis of the related risk factors for parastomal hernia after Miles operation

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content