title: Incidence of Ostomy Site Incisional Hernias after Stoma Closure.
abstract: This study sought to evaluate the incidence of ostomy site incisional hernias after stoma reversal at a single institution. This is a retrospective analysis from 2001 to 2011 evaluating the following demographics: age, gender, indication for stoma, urgent versus elective operation, time to closure, total follow-up time, the incidence of and reoperation for stoma incisional hernia, diabetes, postoperative wound infection, smoking status within six months of surgery, body mass index, and any immunosuppressive medications. A total of 365 patients were evaluated. The median follow-up time was 30 months. The clinical hernia rate was 19 percent. Significant risk factors for hernia development were age, diabetes, end colostomies, loop colostomies, body mass index >30, and undergoing an urgent operation. The median time to clinical hernia detection was 32 months. Sixty-four percent of patients required surgical repair of their stoma incisional hernia. A significant number of patients undergoing stoma closure developed an incisional hernia at the prior stoma site with the majority requiring definitive repair. These hernias are a late complication after stoma closure and likely why they are under-reported in the literature.
authors.affiliation: Division of Colon and Rectal Surgery, Albany Medical Center, Albany, New York, USA.
authors.forename: Stephen P
authors.initials: SP
authors.lastname: Sharp
authors.forename: Jacquelyn K
authors.initials: JK
authors.lastname: Francis
authors.forename: Brian T
authors.initials: BT
authors.lastname: Valerian
authors.forename: Jonathan J
authors.initials: JJ
authors.lastname: Canete
authors.forename: A David
authors.initials: AD
authors.lastname: Chismark
authors.forename: Edward C
authors.initials: EC
authors.lastname: Lee
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D003125:Colostomy / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D006555:Hernia, Ventral / Q000453:epidemiology* / Q000209:etiology; D006801:Humans; D007081:Ileostomy / Q000009:adverse effects*; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009518:New York / Q000453:epidemiology; D010030:Ostomy / Q000009:adverse effects*; D012086:Reoperation; D012189:Retrospective Studies; D055815:Young Adult