TY - JOUR
T1 - Parestomal hernia repair. Prospective observational study based on the Spanish Registry of Incisional Hernia (EVEREG)
AU - López-Cano, Manuel
AU - Pereira, José Antonio
AU - Rodrigues-Gonçalves, Victor
AU - Verdaguer-Tremolosa, Mireia
AU - Hernández-Granados, Pilar
AU - Bravo-Salvá, Alejandro
AU - Utrera González, Antonio
AU - M. Capitán Vallvey, José
AU - Pradas, Matías
AU - Pérez Gomar, Daniel
AU - Bustos, Manuel
AU - Herrera Fernández, Francisco Antonio
AU - A. Blanco, Juan
AU - Robres Puig, Joaquim
AU - Villalobos, Rafael
AU - Güell Puigcercós, Dolors
AU - Puigcercós Fusté, José María
AU - Ayuso Osuna, Vicente
AU - Piñol, Marta
AU - Olona Cases, Carles
AU - Martínez Ródenas, Francisco
AU - Comajuncosas, Jordi
AU - Sebastián Valverde, Enric
AU - Amador, Sara
AU - Gelonch, Jaume
AU - Vallverdú, Helena
AU - Abelló Sala, Magda
AU - Veres Gómez, Antonio
AU - Gamón, Rosa
AU - García Peche, Pedro
AU - González Valverde, Miguel
AU - Martín Blanco, Miguel Angel
AU - J. Ferri, Ramón
AU - Martí Ciñat, Elena
AU - García Pastor, Providencia
AU - Montero, Carlos
AU - Lorenzo Liñán, Miguel Ángel
AU - Barbero, Vicente
AU - Morlan, Miguel Ángel
AU - Jover, José María
AU - Delgado Lillo, Isabel
AU - Sanz Sánchez, María Mercedes
AU - Zarain Obrador, Leire
AU - Lusilla, Alejandro
AU - Cabeza Gómez, Juan Jesús
AU - Butrón, Teresa
AU - Supelano Eslait, Guillermo
AU - Álvarez Conde, José Luis
AU - Bombuy Giménez, Ernest
AU - Hoyuela Alonso, Carlos
PY - 2020/9/1
Y1 - 2020/9/1
N2 - © 2020 AEC 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 HP 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.
AB - © 2020 AEC 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 HP 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.
KW - Hernia
KW - Parastomal
KW - Registry
KW - Surgery
UR - http://www.scopus.com/inward/record.url?scp=85090479239&partnerID=8YFLogxK
U2 - 10.1016/j.ciresp.2020.07.017
DO - 10.1016/j.ciresp.2020.07.017
M3 - Artículo
C2 - 32912623
AN - SCOPUS:85090479239
SN - 0009-739X
JO - Cirugia Espanola
JF - Cirugia Espanola
ER -