Risk factors of postoperative recurrence after parastomal hernia repair
10.3760/cma.j.cn113855-20230312-00118
- VernacularTitle:造口旁疝修补术后复发的危险因素分析
- Author:
Chenyang DU
1
;
Yong WANG
;
Wen LUO
;
Xin DUAN
;
Wenjie KE
;
Nian SHI
;
Yingxiang WU
Author Information
1. 华中科技大学同济医学院附属武汉市中心医院疝与腹壁外科，武汉 430014
- Keywords:
Colostomy;
Hernia;
Recurrence
- From:
Chinese Journal of General Surgery
2023;38(10):772-775
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the risk factors of postoperative recurrence of parastomal hernia repair.Methods:The clinical and follow-up data of 128 patients undergoing parastomal hernia repair at the the Central Hospital of Wuhan, Tongji Medical College of Huazhong University of Science and Technology from Jan 1, 2013 to Dec 31, 2022 was analyzed retrospectively.Results:Postoperative recurrence was confirmed in 32 patients during follow-up, and the recurrence rates were 13.8% , 24.8% and 25.0% at 1',3' and 5 years .Univariate analysis showed that body mass index (BMI) , chronic obstructive pulmonary disease (COPD), type of stoma, prophylactic stoma displacement, and surgical options were the risk factors for recurrence after parastomal hernia repair. Multiple Logistic regression analysis showed that BMI, COPD, prophylactic stoma displacement, and surgical options were independent risk factors for the recurrence after parastomal hernia ( P< 0.05). Conclusion:The occurrence of hernia recurrence after parastomal hernia repair is closely related to patients' BMI, COPD, prophylactic stoma displacement and the surgical options.
