Systematic Review and Meta‐analysis of the Incidence of Incisional Hernia at the Site of Stoma Closure

Abstract

One in three patients may develop a hernia after stoma closure, and around half of hernias that are detected require repair. Risk of hernia is greater after colostomy closure than after ileostomy closure. Clinical measures to reduce the development of these hernias warrant consideration.

Pursestring Closure versus Conventional Primary Closure Following Stoma Reversal to Reduce Surgical Site Infection Rate

“…incisional hernia is a delayed complication that occurs on an average of 9 months after stoma reversal surgery with an event rate reported as high as 36%. 28,29 in the report by liang et al, 30 ssi was associated with fascial dehiscence that would have increased the risk of incisional hernia. the PsC technique can decrease ssis and theoretically can reduce the incidence of postoperative incisional hernia.…”

Incidence, risk factors and prevention of stoma site incisional hernias: a systematic review and meta‐analysis

“…This study shows an overall incidence of SSIH of 6.5% [range 0%–38.5%, median follow‐up 27.5 (17.54–36) months], which is in accordance with the review by Bhangu et al . , who reported an overall hernia rate of 7% (range 0%–48%, median follow‐up 36 months). However, this study was based on a smaller number of patients ( n = 2698) than the present study ( n = 4602).…”

Retrospective observational study on the incidence of incisional hernias after reversal of a temporary diverting ileostomy following rectal carcinoma resection with follow-up CT scans

“…Moreover, the site of the TDI is at risk for development of an incisional hernia (IH) after reversal of the stoma. A recent systematic review reported the median incidence of stoma site IH to be 8.3 % (range 0-33.9 %) and to be 44.1 % (range 8.7-58.1 %) for midline IH [3,4]. In 3 studies specifically designed to assess stoma site herniation and with a low risk of bias, the incidence of IH at the stoma site ranged from 30.1 to 32.4 % [5][6][7].…”