Parastomal hernia repair: Bielañski hospital experience

Szczepkowski, Marek; Gil, Grzegorz; Kobus, Adam

doi:10.2298/aci0602099s

Cited by 9 publications

(5 citation statements)

References 6 publications

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“…Local factors that influence the incidence of complications include: stoma topography, involvement of rectus abdominis muscle, preoperative demarcation, stoma diameter, transposition on intra-or extraperitoneal plane with fascia fixation, aponeurotic closure, emergency surgery and stoma type 6 , as well as higher predominance associated with females and obesity 7 .…”

Section: Introductionmentioning

confidence: 99%

Complication related to colostomy orifice: intestinal evisceration

Salles¹,

Saba²,

Pissinin³

et al. 2011

J. Coloproctol. (Rio J.)

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Intestinal evisceration at the site of a stoma is a rare event, with high morbimortality. Its clinical manifestation often occurs between the sixth and seventh days after surgery. The risk factors most frequently related to evisceration are: increased intra-abdominal pressure, digestive tract cancer surgery, emergency surgery and stomas in the surgical incision. The authors report the case of a male patient, aged 62, suffering from adenocarcinoma of the rectum with obstructive acute abdomen, who underwent loop transversotomy for decompression. On the fourth day after surgery, he had a bronchospasm crisis, with evisceration of ileum and colon through the colostomic hole. The association of some triggering factors, such as emergency surgery, colorectal malignant neoplasm, increased intra-abdominal pressure and technical failure of colostomy were decisive in the development of this rare peri-colostomy complication.
A evisceração intestinal desenvolvida no sítio de um estoma é um evento raro, tendo elevada morbimortalidade. Sua manifestação clínica ocorre frequentemente entre o sexto e o sétimo dias de pós-operatório. Os fatores de risco mais frequentemente relacionados à evisceração são: aumento da pressão intra-abdominal, câncer do aparelho digestório, cirurgia de urgência e estomias na incisão cirúrgica. Os autores relatam o caso de um paciente do sexo masculino, com 62 anos, portador de adenocarcinoma do reto médio com abdômen agudo obstrutivo, sendo submetido à transversostomia em alça, com finalidade descompressiva. No quarto dia de pós-operatório com crise de broncoespasmo, apresentou evisceração do cólon e íleo pelo orifício abdominal colostômico. A associação de alguns fatores desencadeantes, como a cirurgia de urgência, a doença neoplásica colorretal maligna, o aumento da pressão intra-abdominal e a falha técnica na confecção da colostomia, foram determinantes para o desenvolvimento desta rara complicação pericolostômica

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Section: Introductionmentioning

confidence: 99%

Complication related to colostomy orifice: intestinal evisceration

Salles¹,

Saba²,

Pissinin³

et al. 2011

J. Coloproctol. (Rio J.)

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“…These types describe different degrees of pathology of the stoma: from proper hernias (with presence of the hernial sac and its content) to conditions involving hernia recurrencesboth subcutaneous or through the stoma itself. Only the classification described by Szczepkowski includes in the assessed parameters coexistence and size of hernias in the postoperative scar after a vertical incision (1).…”

Section: Levelmentioning

confidence: 99%

Polish guidelines for treatment of patients with parastomal hernia

Śmietański¹,

Bury²,

Matyja³

et al. 2013

Polish Journal of Surgery

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“…2 Goligher, even, went so far as to claim that some degree of parastomal herniation is inevitable given enough follow-up time. 3 Parastomal hernia is broadly defined as an incisional hernia located at or immediately adjacent to a stoma. 4 Due to the frequency of PSHs and the limited success rate of repair, attention has been focused on preventing PSHs at the outset when a stoma is fashioned.…”

Section: Introductionmentioning

confidence: 99%

Para-stomal Hernia in Para-rectus versus Trans-rectus Stomas: A Randomized Controlled Study

Hamed

Afifi

2020

Ain Shams Journal of Surgery

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Background: Para-stomal hernia is a common complication following fecal diversion. It has been attributed to many factors and site of stoma creation in relation to the rectus abdominis muscle is believed to be one of them. This belief was recently debated. The aim of this research was to detect if the site of stoma creation whether through (trans-) or away from (para-) the rectus abdominis muscle has a role in the development of such a complication.Methods: Sixty patients undergoing fecal diversion were included in a prospective controlled study. They were randomly allocated into one of two main groups; whether to undergo a para-rectus stoma creation or a trans-rectus stoma creation. All patients were followed-up for one year for the development of para-stomal hernia.Results: There was no statistically significant difference between the two groups as regard to the incidence of developing para-stomal hernia. Conclusion:Creating stomas away from the edge of the rectus abdominis muscle i.e. at a para-rectus site is not a risk factor for developing para-stomal hernia.

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Parastomal hernia repair: Bielañski hospital experience

Cited by 9 publications

References 6 publications

Complication related to colostomy orifice: intestinal evisceration

Complication related to colostomy orifice: intestinal evisceration

Polish guidelines for treatment of patients with parastomal hernia

Para-stomal Hernia in Para-rectus versus Trans-rectus Stomas: A Randomized Controlled Study

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