Surgical repair of parastomal bulging: a retrospective register-based study on prospectively collected data
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Surgical repair of parastomal bulging : a retrospective register-based study on prospectively collected data. / Krogsgaard, M.; Gögenur, I.; Helgstrand, F.; Andersen, R. M.; Danielsen, A. K.; Vinther, A.; Klausen, T. W.; Hillingsø, J.; Christensen, B. M.; Thomsen, T.
I: Colorectal Disease, Bind 22, Nr. 11, 2020, s. 1704-1713.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Surgical repair of parastomal bulging
T2 - a retrospective register-based study on prospectively collected data
AU - Krogsgaard, M.
AU - Gögenur, I.
AU - Helgstrand, F.
AU - Andersen, R. M.
AU - Danielsen, A. K.
AU - Vinther, A.
AU - Klausen, T. W.
AU - Hillingsø, J.
AU - Christensen, B. M.
AU - Thomsen, T.
PY - 2020
Y1 - 2020
N2 - Aim: The aim of this work was to examine (1) the incidence of primary repair, (2) the incidence of recurrent repair and (3) the types of repair performed in patients with parastomal bulging. Method: Prospectively collected data on parastomal bulging from the Danish Stoma Database were linked to surgical data on repair of parastomal bulging from the Danish National Patient Register. Survival statistics provided cumulative incidences and time until primary and recurrent repair. Results: In the study sample of 1016 patients with a permanent stoma and a parastomal bulge, 180 (18%) underwent surgical repair. The cumulative incidence of a primary repair was 9% [95% CI (8%; 11%)] within 1 year and 19% [95% CI (17%; 22%)] within 5 years after the occurrence of a parastomal bulge. We found a similar probability of undergoing primary repair in patients with ileostomy and colostomy. For recurrent repair, the 5-year cumulative incidence was 5% [95% CI (3%; 7%)]. In patients undergoing repair, the probability was 33% [95% CI (21%; 46%)] of having a recurrence requiring repair within 5 years. The main primary repair was open or laparoscopic repair with mesh (43%) followed by stoma revision (39%). Stoma revision and repair with mesh could precede or follow one another as primary and recurrent repair. Stoma reversal was performed in 17% of patients. Conclusion: Five years after the occurrence of a parastomal bulge the estimated probability of undergoing a repair was 19%. Having undergone a primary repair, the probability of recurrent repair was high. Stoma reversal was more common than expected.
AB - Aim: The aim of this work was to examine (1) the incidence of primary repair, (2) the incidence of recurrent repair and (3) the types of repair performed in patients with parastomal bulging. Method: Prospectively collected data on parastomal bulging from the Danish Stoma Database were linked to surgical data on repair of parastomal bulging from the Danish National Patient Register. Survival statistics provided cumulative incidences and time until primary and recurrent repair. Results: In the study sample of 1016 patients with a permanent stoma and a parastomal bulge, 180 (18%) underwent surgical repair. The cumulative incidence of a primary repair was 9% [95% CI (8%; 11%)] within 1 year and 19% [95% CI (17%; 22%)] within 5 years after the occurrence of a parastomal bulge. We found a similar probability of undergoing primary repair in patients with ileostomy and colostomy. For recurrent repair, the 5-year cumulative incidence was 5% [95% CI (3%; 7%)]. In patients undergoing repair, the probability was 33% [95% CI (21%; 46%)] of having a recurrence requiring repair within 5 years. The main primary repair was open or laparoscopic repair with mesh (43%) followed by stoma revision (39%). Stoma revision and repair with mesh could precede or follow one another as primary and recurrent repair. Stoma reversal was performed in 17% of patients. Conclusion: Five years after the occurrence of a parastomal bulge the estimated probability of undergoing a repair was 19%. Having undergone a primary repair, the probability of recurrent repair was high. Stoma reversal was more common than expected.
KW - Hernia
KW - incidence
KW - ostomy
KW - parastomal bulging
KW - recurrence
KW - register
KW - surgical repair
U2 - 10.1111/codi.15197
DO - 10.1111/codi.15197
M3 - Journal article
C2 - 32548884
AN - SCOPUS:85087844217
VL - 22
SP - 1704
EP - 1713
JO - Colorectal Disease
JF - Colorectal Disease
SN - 1462-8910
IS - 11
ER -
ID: 252721565