Abdominal Oblique Internal and External Muscles Gap Colostomy for Lower Incidence of Parastomal Hernia and Higher Quality of Life: A Retrospective Cohort Study

Background Parastomal hernia and fecal incontinence cause severe distress to the rectal cancer patients with stoma after abdominoperineal resection. We attempted a new colostomy technique through the gap between the abdominal oblique internal and external muscles to prevent parastomal hernia and imp...

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Bibliographic Details
Published in:World journal of surgery 2021-12, Vol.45 (12), p.3623-3632
Main Authors: Huang, Yongjian, Chen, Hengkai, Zheng, Qiajun, Lin, Xiaohan, Zhu, Guangwei, Wang, Jinzhou, Huang, Changli, Ye, Jianxin
Format: Article
Language:English
Subjects:
Abdomen
Abdominal Surgery
Cancer
Cardiac Surgery
Cohort analysis
Cohort Studies
Colorectal cancer
Colostomy
Fecal incontinence
General Surgery
Hernia
Hernia, Ventral - epidemiology
Hernia, Ventral - surgery
Hernias
Humans
Incidence
Incisional Hernia - epidemiology
Incisional Hernia - etiology
Incisional Hernia - prevention & control
Laparoscopy
Medicine
Medicine & Public Health
Muscles
Original Scientific Report
Ostomy
Patients
Quality of Life
Rectal Neoplasms - surgery
Rectum
Retrospective Studies
Surgery
Surgical Mesh
Thoracic Surgery
Vascular Surgery
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Summary:Background Parastomal hernia and fecal incontinence cause severe distress to the rectal cancer patients with stoma after abdominoperineal resection. We attempted a new colostomy technique through the gap between the abdominal oblique internal and external muscles to prevent parastomal hernia and improve quality of life. Methods This cohort study retrospectively examined clinical data from a total of 114 consecutive rectal cancer patients who underwent laparoscopic abdominoperineal resection in our center from March 2016 to March 2018 after propensity score matching. Group A included 57 patients who underwent colostomy through the gap between the abdominal oblique internal and oblique external muscles, while group B included 57 patients who underwent extraperitoneal colostomy. Patients’ quality of life was evaluated using Fecal Incontinence Quality of Life (FIQL) Scale. Results Group A had a lower incidence of parastomal hernia (0% vs. 15.7%, p  = 0.004) and higher quality of life, especially in lifestyle, coping/behavior and embarrassment domains (all p values 
ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-021-06294-y