Evaluation of the Early Results of a Loop Stoma with a Plastic Rod in Comparison to a Loop Stoma Made with a Skin Bridge

Ikeda²,

et al. 2020

Preprint

Section: Diagnosis Of Parastomal Hernia and Other Stoma-related Complmentioning

confidence: 99%

“…Depending on the surgeon's decision, a specimen was removed from a stoma site or a minilaparotomy site. After extracting the specimen, the stoma was created using the skin bridge technique [15,16]. The skin bridge technique uses skin instead of a plastic rod to secure and prevent retraction of the stoma.…”

Section: Surgical Techniques For Stoma Creationmentioning

confidence: 99%

Risk factors for parastomal hernia of loop stoma and relationships with other stoma complications in laparoscopic surgery

Ikeda²,

et al. 2020

Preprint

“…The score is in the range from 0 to 15, where 0 represents normal skin and 15 is the worst combination of severity and extent [13,14]. DET ≥7 was de ned as a case with severe peristomal skin disorders [16]. Stoma outlet obstruction was de ned was based on bowel dilation at the ostomy in clinical ileus, excluding other causes for bowel obstruction.…”

Section: Diagnosis Of Parastomal Hernia and Other Stoma-related Complmentioning

confidence: 99%

Risk factors for parastomal hernia of loop stoma and relationships with other stoma complications in laparoscopic surgery era

Ikeda²,

et al. 2020

Preprint

Background: Laparoscopic approach is now a widespread technique used worldwide, but there are few recent studies on risk factors for parastomal hernia. Therefore, this study was performed to analyze the incidence of parastomal hernia in laparoscopic and open surgery in which a loop stoma was created and was intended to be temporary, and to determine risk factors for parastomal hernia formation. Associations between parastomal hernia and other stoma-related complications were also analyzed.Methods: A retrospective analysis of patient and surgical characteristics was performed in 153 consecutive patients who underwent a temporary diverting loop ileostomy or colostomy after surgery related to malignant diseases at our hospital from January to December 2016.Results: Parastomal hernia developed in 77 cases (50.3%), including 39 (25.5%) diagnosed by physical examination and 38 (24.8%) detected by CT alone. On multivariate analysis, a stoma not passing through the middle of the rectus abdominis muscle was the only independent risk factor for parastomal hernia formation (p=0.005) during the median follow-up of 245.0 days. When we analyzed the factors that were associated with a stoma not passing through the middle of the rectus abdominis muscle, the only independent factor associated with this misplacement of the stoma was a laparoscopic approach (p=0.012). An analysis of stoma-related complications showed that peristomal skin disorders were significantly associated with parastomal hernia (p=0.049).Conclusions: This study showed that a stoma that is not formed through the middle of the rectus abdominis muscle is a risk factor for parastomal hernia formation, and that a laparoscopic approach is associated with this risk factor. Moreover, parastomal hernia is significantly associated with peristomal skin disorders.

“…The score is in the range from 0 to 15, where 0 represents normal skin and 15 is the worst combination of severity and extent [13,14]. DET ≥7 was defined as a case with severe peristomal skin disorders [16]. Stoma outlet obstruction was defined was based on bowel dilation at the ostomy in clinical ileus, excluding other causes for bowel obstruction.…”

Section: Diagnosis Of Parastomal Hernia and Other Stoma-related Complmentioning

confidence: 99%

Risk factors for parastomal hernia of loop stoma and relationships with other stoma complications in laparoscopic surgery era

Ikeda²,

et al. 2020

Preprint

Background: Laparoscopic approach is now a widespread technique used worldwide, but there are few recent studies on risk factors for parastomal hernia. Therefore, this study was performed to analyze the incidence of parastomal hernia in laparoscopic and open surgery in which a loop stoma was created and was intended to be temporary, and to determine risk factors for parastomal hernia formation. Associations between parastomal hernia and other stoma-related complications were also analyzed. Methods: A retrospective analysis of patient and surgical characteristics was performed in 153 consecutive patients who underwent a temporary diverting loop ileostomy or colostomy after surgery related to malignant diseases at our hospital from January to December 2016. Results: Parastomal hernia developed in 77 cases (50.3%), including 39 (25.5%) diagnosed by physical examination and 38 (24.8%) detected by CT alone. On multivariate analysis, a stoma not passing through the middle of the rectus abdominis muscle was the only independent risk factor for parastomal hernia formation (p=0.005) during the median follow-up of 245.0 days. When we analyzed the factors that were associated with a stoma not passing through the middle of the rectus abdominis muscle, the only independent factor associated with this misplacement of the stoma was a laparoscopic approach (p=0.012). An analysis of stoma-related complications showed that peristomal skin disorders were significantly associated with parastomal hernia (p=0.049). Conclusions: This study showed that a stoma that is not formed through the middle of the rectus abdominis muscle is a risk factor for parastomal hernia formation, and that a laparoscopic approach is associated with this risk factor. Moreover, a parastomal hernia is significantly associated with peristomal skin disorders.