Risk factors for parastomal hernias:a systematic review and meta-analysis
10.3969/j.issn.1009-9905.2024.06.008
- VernacularTitle:造口旁疝发生危险因素Meta分析
- Author:
Kai-Lei WANG
1
;
Li-Na MA
;
Guang-Bo BU
;
Guang-Dong ZHANG
;
Hui FAN
;
Fei YU
;
Heng-Rui DU
;
Gang MA
Author Information
1. 济宁医学院附属滕州市中心人民医院 胃肠外科(山东 滕州 277500)
- Keywords:
Parastomal hernia;
Risk factors;
Systematic review
- From:
Chinese Journal of Current Advances in General Surgery
2024;27(6):463-470
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the risk factors for the formation of parastomal Hernias(PSH)using meta-analysis,and to provide a theoretical basis for the prevention and treatment of PSH.Methods:Case control or Cohort study of PSH risk factors were collected by searching PubMed,CNKI,Wanfang data and other databases.Extract relevant data and perform meta-analysis using RevMan 5.3.Results:The results included a total of 16 studies,with a total sample size of 2411 cases,including 670 in the PSH group and 1741 in the non PSH group.The results showed that advanced age,female gender,BMI≥25,hypertension,COPD/chronic cough,diabetes,and postoperative Hypoproteinemia could increase the risk of PSH(P＜0.05);Smoking,previous ab-dominal surgery history,preoperative radiotherapy/chemotherapy etc.,were not significantly asso-ciated with the occurrence of PSH(P＞0.05).Conclusion:The current evidence shows that ad-vanced age,female gender,BMI≥25,hypertension,COPD/chronic cough,diabetes,postoperative Hypoproteinemia are risk factors for PSH,and extraperitoneal stoma can reduce the occurrence of PSH.
