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The rate of ileostomy site incisional hernias: more common than we think?
Purpose Incisional hernias (IH) rates after diverting loop ileostomy reversal (DLI-R) have been reported up to 24%. We aimed to characterize the incidence rate and risk factors associated with DLI-R site IH formation within 1-year in a large patient cohort. Methods A retrospective review at a single...
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Published in: | Hernia : the journal of hernias and abdominal wall surgery 2024-12, Vol.28 (6), p.2311-2320 |
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Main Authors: | , , , , , , , , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites |
Online Access: | Get full text |
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Summary: | Purpose
Incisional hernias (IH) rates after diverting loop ileostomy reversal (DLI-R) have been reported up to 24%. We aimed to characterize the incidence rate and risk factors associated with DLI-R site IH formation within 1-year in a large patient cohort.
Methods
A retrospective review at a single quaternary referral center hospital of adult patients who underwent DLI-R over a 5-year period and abdominal computerized tomography (CT) imaging performed within 1-year for any indication postoperatively was conducted. All CTs scans were independently reviewed by staff surgeons to determine the presence of a fascial defect at the DLI-R site.
Results
2,196 patients underwent DLI-R; of these, 569 (25.9%) underwent CT imaging for any indication. Mean patient age, 54.8 (± 14.9), BMI 27.6 kg/m
2
. 87 (15%) patients had a parastomal hernia at time of DLI-R. After median follow-up of 10 months, 203 patients (35.7%) had IH at the DLI-R site. Age (
p
= 0.14), sex (
p
= 0.39), race (
p
= 0.75), and smoking status (
p
= 0.82) weren’t associated with IH after DLI-R. Comorbidities weren’t significantly associated with IH following DLI-R. In univariate analysis, increased BMI (
p
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ISSN: | 1248-9204 1265-4906 1248-9204 |
DOI: | 10.1007/s10029-024-03163-0 |