Risk factors for parastomal hernia: based on radiological definition.
10.4174/jkss.2013.84.1.43
- Author:
Sung Yeon HONG
1
;
Seung Yeop OH
;
Jae Hee LEE
;
Do Yoon KIM
;
Kwang Wook SUH
Author Information
1. Department of Surgery, Ajou University School of Medicine, Suwon, Korea. kgsosy@ajou.ac.kr
- Publication Type:Original Article
- Keywords:
Hernia;
Computed tomography;
Colostomy
- MeSH:
Colostomy;
Comorbidity;
Female;
Follow-Up Studies;
Hernia;
Humans;
Incidence;
Logistic Models;
Male;
Multivariate Analysis;
Retrospective Studies;
Risk Factors;
Somatotypes
- From:Journal of the Korean Surgical Society
2013;84(1):43-47
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The aim of this study was to investigate the clinical and radiological incidence of parastomal hernia and to analyze the risk factors for parastomal hernia. METHODS: We reviewed retrospectively 108 patients with end colostomy from January 2003 to June 2010. Age, sex, surgical procedure type, body mass index (kg/m2), stoma size, and respiratory comorbidity were documented. RESULTS: There were 61 males (56.5%) and 47 females (43.5%). During an overall median follow-up of 25 months (range, 6 to 73 months), 36 patients (33.3%) developed a radiological parastomal hernia postoperatively and 29 patients (26.9%) presented with a clinical parastomal hernia. In multivariate analysis, gender (odds ratio [OR], 6.087; P = 0.008), age (OR, 1.109; P = 0.009) and aperture size (OR, 6.907; P < 0.001) proved to be significant and independent risk factors after logistic regression analysis. CONCLUSION: This study showed that the incidence of radiological parastomal hernia is higher than clinical parastomal hernia. Risk factors for parastomal hernia proved to be female, age, and aperture size.
