Parestomal hernia repair. Prospective observational study based on the Spanish Registry of Incisional Hernia (EVEREG)

Manuel López-Cano, José Antonio Pereira, Victor Rodrigues-Gonçalves, Mireia Verdaguer-Tremolosa, Pilar Hernández-Granados, Alejandro Bravo-Salvá, Antonio Utrera González, José M. Capitán Vallvey, Matías Pradas, Daniel Pérez Gomar, Manuel Bustos, Francisco Antonio Herrera Fernández, Juan A. Blanco, Joaquim Robres Puig, Rafael Villalobos, Dolors Güell Puigcercós, José María Puigcercós Fusté, Vicente Ayuso Osuna, Marta Piñol, Carles Olona CasesFrancisco Martínez Ródenas, Jordi Comajuncosas, Enric Sebastián Valverde, Sara Amador, Jaume Gelonch, Helena Vallverdú, Magda Abelló Sala, Antonio Veres Gómez, Rosa Gamón, Pedro García Peche, Miguel González Valverde, Miguel Angel Martín Blanco, Ramón J. Ferri, Elena Martí Ciñat, Providencia García Pastor, Carlos Montero, Miguel Ángel Lorenzo Liñán, Vicente Barbero, Miguel Ángel Morlan, José María Jover, Isabel Delgado Lillo, María Mercedes Sanz Sánchez, Leire Zarain Obrador, Alejandro Lusilla, Juan Jesús Cabeza Gómez, Teresa Butrón, Guillermo Supelano Eslait, José Luis Álvarez Conde, Ernest Bombuy Giménez, Carlos Hoyuela Alonso

Research output: Contribution to journalArticleResearchpeer-review

Abstract

© 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.
Original languageAmerican English
JournalCirugia Espanola
DOIs
Publication statusPublished - 1 Sep 2020

Keywords

  • Hernia
  • Parastomal
  • Registry
  • Surgery

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