Buscar en
Cirugía Española (English Edition)
Toda la web
Inicio Cirugía Española (English Edition) Parestomal hernia repair. Prospective observational study based on the Spanish R...
Journal Information
Vol. 99. Issue 7.
Pages 527-534 (August - September 2021)
Share
Share
Download PDF
More article options
ePub
Visits
0
Vol. 99. Issue 7.
Pages 527-534 (August - September 2021)
Original article
DOI: 10.1016/j.cireng.2021.06.016
Parestomal hernia repair. Prospective observational study based on the Spanish Registry of Incisional Hernia (EVEREG)
Reparación de la hernia paraestomal. Estudio observacional prospectivo basado en el Registro Español de Hernia Incisional (EVEREG)
Visits
...
Manuel López-Canoa,
Corresponding author
mlpezcano@gmail.com

Corresponding author.
, José Antonio Pereirab, Victor Rodrigues-Gonçalvesa, Mireia Verdaguer-Tremolosaa, Pilar Hernández-Granadosc, Alejandro Bravo-Salváb, EVEREG registry
a Unidad de Cirugía de la Pared Abdominal, Servicio de Cirugía General, Hospital Universitario Vall d’Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain
b Servicio de Cirugía General, Hospital Universitari del Mar, Departament de Cièncias Experimentals i de la Salut, Universitat Pompeu Fabra, Barcelona, Spain
c Servicio de Cirugía General, Hospital Universitario Fundación Alcorcón, Madrid, Spain
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Tables (5)
Table 1. Patient characteristics.
Table 2. Characteristics of the procedure.
Table 3. Postoperative complications.
Table 4. Complications of the total series.
Table 5. Factors associated with SSO, SSI and recurrence in the colostomy group.
Show moreShow less
Figures (1)
Abstract
Introduction

The results of parastomal hernia (PH) repair based on data from registries are scarce. The objective of this work is to analyze the data collected on PH in the National Registry of Incisional Hernia (EVEREG) and thus evaluate current practices and results in PH repair.

Methods

Data from the PH cohort recorded in the period from July 2012 to June 2018 are analyzed. Complications, recurrences and associated factors of the entire PH cohort are analyzed, regardless of the type of stoma they are associated with. Subsequently, the same PH group analysis was performed in relation to a colostomy (larger group).

Results

353 PH were studied. Of these, 259 (73%) were PH in the context of a terminal colostomy, 74 (21%) in the context of a terminal ileostomy, and 20 (6%) in the context of a ureteroileostomy (Bricker). The global mean age was 68.7 ± 11.1 years and 135 (38%) patients were female. The open approach and elective surgery were predominant (78% and 92% respectively); 99% were repaired with a non-absorbable synthetic mesh. Global postoperative complications were high (30.6%). As well as, the global recurrence (27.5%) after a mean follow-up of 9.4 months.

Conclusions

PH repair is infrequent. PH surgery seems to be associated with a high percentage of postoperative complications and recurrence.

Keywords:
Hernia
Parastomal
Registry
Surgery
Resumen
Introducción

Los resultados de la reparación de la hernia paraestomal (HP) basados en datos provenientes de registros son escasos. El objetivo del presente trabajo es analizar los datos recogidos sobre la HP en el Registro Nacional de Hernia Incisional (EVEREG) y así evaluar las prácticas actuales y resultados en la reparación de una HP.

Métodos

Se analizan los datos de la cohorte de HP registradas en el período desde julio de 2012 hasta junio de 2018. Se analizan las complicaciones, recidivas y factores asociados a ellas de la cohorte completa de HP, independientemente del tipo de estoma al que se asocian. Posteriormente, se realiza el mismo análisis del grupo de HP con relación a una colostomía (grupo más numeroso).

Resultados

Se estudiaron 353 HP. De estas, 259 (73%) fueron HP en el contexto de una colostomía terminal, 74 (21%) en el de una ileostomía terminal y 20 (6%) en el de una ureteroileostomía (Bricker). La edad media global fue de 68,7 ± 11,1 años y 135 (38%) pacientes fueron del sexo femenino. El abordaje abierto y la cirugía electiva fueron predominantes (78% y 92%, respectivamente). El 99% se reparó con una malla sintética no absorbible. Las complicaciones postoperatorias globales fueron altas (30,6%), así como la recurrencia global (27,5%) tras un seguimiento medio de 9,4 meses.

Conclusiones

La reparación de la HP es poco frecuente comparada con el conjunto de reparaciones de la hernia incisional. La cirugía de la HP parece relacionarse con un porcentaje elevado de complicaciones postoperatorias y recidiva.

Palabras clave:
Hernia
Paraestomal
Registro
Cirugía

Article

These are the options to access the full texts of the publication Cirugía Española (English Edition)
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Cirugía Española (English Edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
Tools
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos