When to use a prophylactic mesh after stoma closure: a case–control study

C. Ramírez-Giraldo; A. Torres-Cuellar; C. Cala-Noriega; C. E. Figueroa-Avendaño; J. Navarro-Alean

doi:10.1007/s10029-021-02508-3

When to use a prophylactic mesh after stoma closure: a case–control study

Título traducido de la contribución: Cuándo utilizar una malla profiláctica tras el cierre del estoma: un estudio de casos y controles

C. Ramírez-Giraldo, A. Torres-Cuellar, C. Cala-Noriega, C. E. Figueroa-Avendaño, J. Navarro-Alean

Escuela de Medicina y Ciencias de la Salud

Producción científica: Contribución a una revista › Artículo de Investigación › revisión exhaustiva

7 Citas (Scopus)

Resumen

Objetivo: El cierre de un estoma se asocia con frecuencia a una morbilidad y mortalidad aceptables. Una de las complicaciones más frecuentes es la hernia incisional en el sitio del estoma, que ocurre en el 20%-40% de los casos, superior a las incisiones en otras partes del abdomen. El objetivo de este estudio fue identificar los factores de riesgo asociados a la presentación de hernia incisional tras el cierre del estoma, esto con el fin de seleccionar a los pacientes candidatos a la colocación profiláctica de malla durante el cierre. Métodos: Se realizó un estudio de casos y controles no apareado. En este estudio participaron 164 pacientes que se sometieron a un cierre de estoma entre enero de 2014 y diciembre de 2019. Se identificaron los factores asociados para el desarrollo de hernia incisional en el sitio del estoma después del cierre, para lo cual se realizó un análisis de regresión logística. Resultados: Se analizaron 41 casos y 123 controles, con un seguimiento medio de 35,21 ± 18,42 meses, la edad media para realizar el cierre del estoma fue de 65,28 ± 14,07 años, la causa más frecuente para realizar el estoma fue la enfermedad maligna (65,85%). Se identificó como factor de riesgo para el desarrollo de hernia incisional en el lugar del estoma tras su cierre el antecedente de hernia paraestomal (OR 5,90; IC95% 1,97-17,68). Conclusiones: El uso de malla profiláctica en el cierre del estoma debe considerarse en pacientes con antecedentes de hernia paraestomal ya que estos pacientes presentan un riesgo significativamente mayor de desarrollar una hernia.

Título traducido de la contribución	Cuándo utilizar una malla profiláctica tras el cierre del estoma: un estudio de casos y controles
Idioma original	Inglés estadounidense
Páginas (desde-hasta)	467–472
Número de páginas	6
Publicación	Hernia
Volumen	26
DOI	https://doi.org/10.1007/s10029-021-02508-3
Estado	Publicada - nov. 12 2021

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Cirugía

ODS de las Naciones Unidas

Este resultado contribuye a los siguientes Objetivos de Desarrollo Sostenible

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10.1007/s10029-021-02508-3

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@article{5e5b14f09dd14c6f861d68b235147bba,

title = "When to use a prophylactic mesh after stoma closure: a case–control study",

abstract = "Purpose: The closure of a stoma is frequently associated with an acceptable morbidity and mortality. One of the most frequent complications is incisional hernia at the stoma site, which occurs in 20%–40% of cases, higher than incisions in other parts of the abdomen. The objective of this study was to identify the risk factors associated with the presentation of incisional hernia after stoma closure, this in order to select patients who are candidates for prophylactic mesh placement during closure. Methods: An unpaired case–control study was conducted. This study involved 164 patients who underwent a stoma closure between January 2014 and December 2019. Associated factors for the development of incisional hernia at the site of the stoma after closure were identified, for which it was performed a logistic regression analysis. Results: 41 cases and 123 controls were analyzed, with a mean follow-up of 35.21 ± 18.42 months, the mean age for performing the stoma closure was 65.28 ± 14.07 years, the most frequent cause for performing the stoma was malignant disease (65.85%). Risk factor for the development of incisional hernia at the stoma site after its closure was identified as a history of parastomal hernia (OR 5.90, CI95% 1.97–17.68). Conclusions: The use of prophylactic mesh at stoma closure should be considered in patients with a history of parastomal hernia since these patients present a significantly higher risk of developing a hernia.",

author = "C. Ram{\'i}rez-Giraldo and A. Torres-Cuellar and C. Cala-Noriega and Figueroa-Avenda{\~n}o, {C. E.} and J. Navarro-Alean",

note = "Publisher Copyright: {\textcopyright} 2021, The Author(s).",

year = "2021",

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day = "12",

doi = "10.1007/s10029-021-02508-3",

language = "English (US)",

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TY - JOUR

T1 - When to use a prophylactic mesh after stoma closure

T2 - a case–control study

AU - Ramírez-Giraldo, C.

AU - Torres-Cuellar, A.

AU - Cala-Noriega, C.

AU - Figueroa-Avendaño, C. E.

AU - Navarro-Alean, J.

PY - 2021/11/12

Y1 - 2021/11/12

N2 - Purpose: The closure of a stoma is frequently associated with an acceptable morbidity and mortality. One of the most frequent complications is incisional hernia at the stoma site, which occurs in 20%–40% of cases, higher than incisions in other parts of the abdomen. The objective of this study was to identify the risk factors associated with the presentation of incisional hernia after stoma closure, this in order to select patients who are candidates for prophylactic mesh placement during closure. Methods: An unpaired case–control study was conducted. This study involved 164 patients who underwent a stoma closure between January 2014 and December 2019. Associated factors for the development of incisional hernia at the site of the stoma after closure were identified, for which it was performed a logistic regression analysis. Results: 41 cases and 123 controls were analyzed, with a mean follow-up of 35.21 ± 18.42 months, the mean age for performing the stoma closure was 65.28 ± 14.07 years, the most frequent cause for performing the stoma was malignant disease (65.85%). Risk factor for the development of incisional hernia at the stoma site after its closure was identified as a history of parastomal hernia (OR 5.90, CI95% 1.97–17.68). Conclusions: The use of prophylactic mesh at stoma closure should be considered in patients with a history of parastomal hernia since these patients present a significantly higher risk of developing a hernia.

AB - Purpose: The closure of a stoma is frequently associated with an acceptable morbidity and mortality. One of the most frequent complications is incisional hernia at the stoma site, which occurs in 20%–40% of cases, higher than incisions in other parts of the abdomen. The objective of this study was to identify the risk factors associated with the presentation of incisional hernia after stoma closure, this in order to select patients who are candidates for prophylactic mesh placement during closure. Methods: An unpaired case–control study was conducted. This study involved 164 patients who underwent a stoma closure between January 2014 and December 2019. Associated factors for the development of incisional hernia at the site of the stoma after closure were identified, for which it was performed a logistic regression analysis. Results: 41 cases and 123 controls were analyzed, with a mean follow-up of 35.21 ± 18.42 months, the mean age for performing the stoma closure was 65.28 ± 14.07 years, the most frequent cause for performing the stoma was malignant disease (65.85%). Risk factor for the development of incisional hernia at the stoma site after its closure was identified as a history of parastomal hernia (OR 5.90, CI95% 1.97–17.68). Conclusions: The use of prophylactic mesh at stoma closure should be considered in patients with a history of parastomal hernia since these patients present a significantly higher risk of developing a hernia.

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DO - 10.1007/s10029-021-02508-3

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SN - 1265-4906

VL - 26

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JO - Hernia

JF - Hernia

ER -

When to use a prophylactic mesh after stoma closure: a case–control study

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