The incidence of incisional hernias following ileostomy reversal in colorectal cancer patients treated with anterior resection.

2.50
Hdl Handle:
http://hdl.handle.net/11287/620106
Title:
The incidence of incisional hernias following ileostomy reversal in colorectal cancer patients treated with anterior resection.
Authors:
Fazekas, B.; Fazekas, B.; Hendricks, J.; Smart, Neil J. ( 0000-0002-3043-8324 ) ; Arulampalam, T.
Abstract:
INTRODUCTION The aim of this study was to identify the rate of incisional hernia formation following ileostomy reversal in patients who underwent anterior resection for colorectal cancer. In addition, we aimed to ascertain risk factors for the development of reversal-site incisional hernias and to record the characteristics of the resultant hernias. MATERIALS AND METHODS Using a prospectively compiled database of colorectal cancer patients who were treated with anterior resection, we identified individuals who had undergone both ileostomy formation and subsequent reversal of their ileostomies from January 2005 to December 2014. Medical records were reviewed to record descriptive patient data about risk factors for hernia formation, operative details and any subsequent operations. Computed tomography reports were reviewed to identify the number, site and characteristics of incisional hernias. RESULTS A total of 121 patients were included in this study; 14.9% (n = 18) developed an incisional hernia at the ileostomy reversal site; 17.4% (n = 21) at a non-ileostomy site and 6.6% (n = 8) developed both. The reversal-site hernias were smaller both in width and length compared with the non-ileostomy-site hernias. Risk factors for the development of reversal-site incisional hernias were higher body mass index (BMI), lower age, open surgery, longer reversal time and a history of previous hernias. We did not detect a difference in the size of the incisional hernias that developed in patients with these specific risk factors. CONCLUSIONS Incisional hernias are a significant complication of ileostomy reversal. Further evaluation of the use of prophylactic mesh to reduce the incidence of incisional hernias may be worthwhile.
Citation:
The incidence of incisional hernias following ileostomy reversal in colorectal cancer patients treated with anterior resection. 2017 Apr;99(4):319-324. Epub 2016 Nov 21. Ann R Coll Surg Engl
Publisher:
Royal College of Surgeons
Journal:
Annals of the Royal College of Surgeons of England
Issue Date:
21-Nov-2016
URI:
http://hdl.handle.net/11287/620106
DOI:
10.1308/rcsann.2016.0347
PubMed ID:
27869487
Additional Links:
http://publishing.rcseng.ac.uk/doi/abs/10.1308/rcsann.2016.0347?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmed
Type:
Journal Article
Language:
en
ISSN:
1478-7083
Appears in Collections:
Colorectal Surgery; HeSRU publications; 2016 RD&E publications

Full metadata record

DC FieldValue Language
dc.contributor.authorFazekas, B.en
dc.contributor.authorFazekas, B.en
dc.contributor.authorHendricks, J.en
dc.contributor.authorSmart, Neil J.en
dc.contributor.authorArulampalam, T.en
dc.date.accessioned2016-11-24T12:06:49Z-
dc.date.available2016-11-24T12:06:49Z-
dc.date.issued2016-11-21-
dc.identifier.citationThe incidence of incisional hernias following ileostomy reversal in colorectal cancer patients treated with anterior resection. 2017 Apr;99(4):319-324. Epub 2016 Nov 21. Ann R Coll Surg Englen
dc.identifier.issn1478-7083-
dc.identifier.pmid27869487-
dc.identifier.doi10.1308/rcsann.2016.0347-
dc.identifier.urihttp://hdl.handle.net/11287/620106-
dc.description.abstractINTRODUCTION The aim of this study was to identify the rate of incisional hernia formation following ileostomy reversal in patients who underwent anterior resection for colorectal cancer. In addition, we aimed to ascertain risk factors for the development of reversal-site incisional hernias and to record the characteristics of the resultant hernias. MATERIALS AND METHODS Using a prospectively compiled database of colorectal cancer patients who were treated with anterior resection, we identified individuals who had undergone both ileostomy formation and subsequent reversal of their ileostomies from January 2005 to December 2014. Medical records were reviewed to record descriptive patient data about risk factors for hernia formation, operative details and any subsequent operations. Computed tomography reports were reviewed to identify the number, site and characteristics of incisional hernias. RESULTS A total of 121 patients were included in this study; 14.9% (n = 18) developed an incisional hernia at the ileostomy reversal site; 17.4% (n = 21) at a non-ileostomy site and 6.6% (n = 8) developed both. The reversal-site hernias were smaller both in width and length compared with the non-ileostomy-site hernias. Risk factors for the development of reversal-site incisional hernias were higher body mass index (BMI), lower age, open surgery, longer reversal time and a history of previous hernias. We did not detect a difference in the size of the incisional hernias that developed in patients with these specific risk factors. CONCLUSIONS Incisional hernias are a significant complication of ileostomy reversal. Further evaluation of the use of prophylactic mesh to reduce the incidence of incisional hernias may be worthwhile.en
dc.languageENG-
dc.language.isoenen
dc.publisherRoyal College of Surgeonsen
dc.relation.urlhttp://publishing.rcseng.ac.uk/doi/abs/10.1308/rcsann.2016.0347?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmeden
dc.rightsArchived with thanks to Annals of the Royal College of Surgeons of Englanden
dc.subjectWessex Classification Subject Headings::Gastroenterologyen
dc.subjectWessex Classification Subject Headings::Surgeryen
dc.titleThe incidence of incisional hernias following ileostomy reversal in colorectal cancer patients treated with anterior resection.en
dc.typeJournal Articleen
dc.identifier.journalAnnals of the Royal College of Surgeons of Englanden
dc.type.versionIn press (epub ahead of print)en

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