Risk factors associated to incisional hernia in stoma site after stoma closure: a systematic review and meta analysis

dc.contributorRamírez Giraldo, Camilo
dc.contributorRojas López, Susana
dc.creatorRamírez Giraldo, Camilo
dc.creatorVan Londoño, Isabella
dc.creatorHernández Ferreira, Juliana
dc.creatorHernández Álvarez, Daniela
dc.creatorRojas López, Susana
dc.date.accessioned2023-08-11T16:29:05Z
dc.date.accessioned2023-08-25T16:25:58Z
dc.date.available2023-08-11T16:29:05Z
dc.date.available2023-08-25T16:25:58Z
dc.date.created2023-08-11T16:29:05Z
dc.identifierhttps://repository.urosario.edu.co/handle/10336/40662
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/8437516
dc.description.abstractThis study aims to identify which risk factors are associated to the appearance of an incisional hernia in a stoma site after its closure. This in the sake of identifying which patients would benefit from a preventative intervention and thus start implementing a cost-effective protocol for prophylactic mesh placement in high-risk patients. Methods: A systematic review of PubMed, Cochrane library and ScienceDirect was performed according to PRISMA guidelines. Studies reporting incidence, risk factors and follow-up time for appearance of incisional hernia after stoma site closure were included. A fixed-effects and random effects models were used to calculate odds ratios’ estimates and standardized mean values with their respective grouped 95% confidence interval. This to evaluate the association between possible risk factors and the appearance of incisional hernia after stoma site closure. Results: 17 studies totaling 2899 patients were included. Incidence proportion between included studies was of 17,78% (CI95%: 13,51 – 22,50%). Out of the evaluated factors obesity (p<0,001, index (p<0,001, Cohen’s d=0.63, SE=011), presence of parastomal hernia (p=0,001, LogOR=1.24, SE=0.38), colostomy (p=0,001 LogOR=-0.71, SE=0.15) and end stoma (p=0,040, LogOR=-0,38, SE=-0,18) were associated to the appearance of incisional hernia in stoma site after stoma closure. Conclusions: Prophylactic mesh placement should be considered as an effective preventative intervention in high-risk patients (obese patients, patients with parastomal hernia, colostomy and end stoma patients) with the goal of reducing incisional hernia rates in stoma site after closure while remaining cost-effective.
dc.languagespa
dc.publisherUniversidad del Rosario
dc.publisherEscuela de Medicina y Ciencias de la Salud
dc.publisherEspecialización en Cirugía General
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rightsAbierto (Texto Completo)
dc.rightsEL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe. EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización. -------------------------------------- POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.
dc.rightshttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International
dc.sourceWilson MZ. We Asked the Experts: Repair Techniques as Prevention: Ostomy Closure is an Incisional Hernia Repair. World J Surg [Internet]. 2022;46(8):1896–7. Available from: https://doi.org/10.1007/s00268-022-06540-x
dc.sourceDe Haes F, Bullen NL, Antoniou GA, Smart NJ, Antoniou SA. Systematic review and meta-analysis of incisional hernia post-reversal of ileostomy. Hernia [Internet]. 2020;24(1):9–21. Available from: https://doi.org/10.1007/s10029-019-01961-5
dc.sourceBhangu A, Fletcher L, Kingdon S, Smith E, Nepogodiev D, Janjua U. A clinical and radiological assessment of incisional hernias following closure of temporary stomas. Surgeon [Internet]. 2012;10(6):321–5. Available from: http://dx.doi.org/10.1016/j.surge.2012.01.001
dc.sourceStabilini C, Garcia-Urena MA, Berrevoet F, Cuccurullo D, Capoccia Giovannini S, Dajko M, et al. An evidence map and synthesis review with meta-analysis on the risk of incisional hernia in colorectal surgery with standard closure. Hernia [Internet]. 2022;26(2):411–36. Available from: https://doi.org/10.1007/s10029-021-02555-w
dc.sourcePeltrini R, Imperatore N, Altieri G, Castiglioni S, Di Nuzzo MM, Grimaldi L, et al. Prevention of incisional hernia at the site of stoma closure with different reinforcing mesh types: a systematic review and meta-analysis. Hernia [Internet]. 2021;(0123456789). Available from: https://doi.org/10.1007/s10029-021-02393-w
dc.sourceMohamedahmed AYY, Stonelake S, Zaman S, Hajibandeh S. Closure of stoma site with or without prophylactic mesh reinforcement: a systematic review and meta-analysis. Int J Colorectal Dis. 2020;35(8):1477–88.
dc.sourceAlli V V., Zhang J, Telem DA. Impact of incisional hernia development following abdominal operations on total healthcare cost. Surg Endosc [Internet]. 2018;32(5):2381–6. Available from: http://dx.doi.org/10.1007/s00464-017-5936-8
dc.sourceSheikh Y, Asunramu H, Low H, Gakhar D, Muthukumar K, Yassin H, et al. A Cost-Utility Analysis of Mesh Prophylaxis in the Prevention of Incisional Hernias following Stoma Closure Surgery. Int J Environ Res Public Health. 2022;19(20).
dc.sourceRhemtulla IA, Messa CA, Enriquez FA, Hope WW, Fischer JP. Role of Prophylactic Mesh Placement for Laparotomy and Stoma Creation. Surg Clin North Am. 2018;98(3):471–81
dc.sourceSmith L, Meggy A, Watts T, Knight L, Torkington J, Cornish J. Incisional hernia prevention: risk-benefit from a patient perspective (INVITE) - protocol for a single-centre, mixed-methods, cross-sectional study aiming to determine if using prophylactic mesh in incisional hernia prevention is acceptable to patients. BMJ Open. 2022;12(12):e069568.
dc.sourceLambrichts DPV, de Smet GHJ, van der Bogt RD, Kroese LF, Menon AG, Jeekel J, et al. Incidence, risk factors and prevention of stoma site incisional hernias: a systematic review and meta-analysis. Color Dis. 2018;20(10):O288–303.
dc.sourceHarries RL, Torkington J. Stomal Closure: Strategies to Prevent Incisional Hernia. Front Surg. 2018;5(April):1–7.
dc.sourcePage MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ. 2021;372.
dc.sourceMuka T, Glisic M, Milic J, Verhoog S, Bohlius J, Bramer W, et al. A 24-step guide on how to design, conduct, and successfully publish a systematic review and meta-analysis in medical research. Eur J Epidemiol [Internet]. 2020;35(1):49–60. Available from: https://doi.org/10.1007/s10654-019-00576-5
dc.sourceSlim K, Nini E, Forestier D, Kwiatkowski F, Panis Y, Chipponi J. Methodological index for non-randomized studies (Minors): Development and validation of a new instrument. ANZ J Surg. 2003;73(9):712–6.
dc.sourceDerSimonian R, Laird N. Meta-analysis in clinical trials revisited. Contemp Clin Trials. 2015;45:139–45.
dc.sourceSchwarzer G, Carpenter JR, Rücker G. Meta-Analysis with R. First. Springer Cham; 2023. 1–218 p.
dc.sourceCalvo Espino P, Sánchez Movilla A, Alonso Sebastian I, García Schiever J, Varillas Delgado D, Sánchez Turrión V, et al. Incidence and risk factors of delayed development for stoma site incisional hernia after ileostomy closure in patients undergoing colorectal surgery with temporary ileostomy. Acta Chir Belg [Internet]. 2022;122(1):41–7. Available from: https://doi.org/10.1080/00015458.2020.1846941
dc.sourceRamírez-Giraldo C, Torres-Cuellar A, Cala-Noriega C, Figueroa-Avendaño CE, Navarro-Alean J. When to use a prophylactic mesh after stoma closure: a case–control study. Hernia [Internet]. 2021;(0123456789):9–11. Available from: https://doi.org/10.1007/s10029-021-02508-3
dc.sourceBloomfield I, Dobson B, Von Papen M, Clark D. Incisional hernia following ileostomy closure: who’s at risk? The Gold Coast experience. ANZ J Surg. 2022;92(1–2):146–50.
dc.sourceMongelard K, Mynster T, Jensen KK. Stoma-site hernia after stoma reversal following rectal cancer resection. Dan Med J. 2020;67(3):1–5.
dc.sourceEklöv K, Viktorsson FZ, Frosztega E, Bringman S, Nygren J, Everhov ÅH. Hernia at the stoma site after loop ileostomy reversal. Int J Colorectal Dis. 2020;35(5):887–95
dc.sourceKelly-Schuette K, Wilkes A, Kyriakakis R, Ogilvie J. Predictors of hernia after loop ileostomy closure: a single-center retrospective review. Int J Colorectal Dis. 2020;35(9):1695–702.
dc.sourceDe Robles MS, Bakhtiar A, Young CJ. Obesity is a significant risk factor for ileostomy site incisional hernia following reversal. ANZ J Surg. 2019;89(4):399–402.
dc.sourceKaneko T, Funahashi K, Ushigome M, Kagami S, Goto M, Koda T, et al. Incidence of and risk factors for incisional hernia after closure of temporary ileostomy for colorectal malignancy. Hernia [Internet]. 2019;23(4):743–8. Available from: http://dx.doi.org/10.1007/s10029-018-1855-4
dc.sourceBrook AJ, Mansfield SD, Daniels IR, Smart NJ. Incisional hernia following closure of loop ileostomy: The main predictor is the patient, not the surgeon. Surgeon [Internet]. 2018;16(1):20–6. Available from: http://dx.doi.org/10.1016/j.surge.2016.03.004
dc.sourceAmelung FJ, de Guerre LEVM, Consten ECJ, Kist JW, Verheijen PM, Broeders IAMJ, et al. Incidence of and risk factors for stoma-site incisional herniation after reversal. BJS Open. 2018;2(3):128–34.
dc.sourceVergara-Fernández O, Trejo-Avila M, Salgado-Nesme N. Multivariate analysis of risk factors for complications after loop ileostomy closure. Cir y Cir (English Ed. 2019;87(3):337–46.
dc.sourceOriel BS, Chen Q, Itani KMF. Incidence, recurrence and risk factors of hernias following stoma reversal. Am J Surg. 2017;214(2):232–8.
dc.sourceFazekas B, Fazekas B, Hendricks J, Smart N, Arulampalam T. The incidence of incisional hernias following ileostomy reversal in colorectal cancer patients treated with anterior resection. Ann R Coll Surg Engl. 2017;99(4):319–24.
dc.sourceDe Keersmaecker G, Beckers R, Heindryckx E, Kyle-Leinhase I, Pletinckx P, Claeys D, et al. Retrospective observational study on the incidence of incisional hernias after reversal of a temporary diverting ileostomy following rectal carcinoma resection with follow-up CT scans. Hernia. 2016;20(2):271–7.
dc.sourceSharp SP, Francis JK, Valerian BT, Canete JJ, Chismark AD, Lee EC. Incidence of Ostomy Site Incisional Hernias after Stoma Closure. Am Surg. 2015;81(12):1244–8.
dc.sourceCingi A, Solmaz A, Attaallah W, Aslan A, Aktan AO. Enterostomy closure site hernias: A clinical and ultrasonographic evaluation. Hernia. 2008;12(4):401–5.
dc.sourceCingi A, Cakir T, Sever A, Aktan AO. Enterostomy site hernias: A clinical and computerized tomographic evaluation. Dis Colon Rectum. 2006;49(10):1559–63.
dc.sourceSimons MP, Smietanski M, Bonjer HJ, Bittner R, Miserez M, Aufenacker TJ, et al. International guidelines for groin hernia management. Hernia. 2018;22(1):1–165.
dc.sourceHenriksen NA, Bisgaard T, Helgstrand F. Smoking and obesity are associated with increased readmission after elective repair of small primary ventral hernias: A nationwide database study. Surgery [Internet]. 2020;168(3):527–31. Available from: https://doi.org/10.1016/j.surg.2020.04.012
dc.sourceNachiappan S, Markar S, Karthikesaligam A, Ziprin P, Faiz O. Prophylactic mesh placement in high-risk patients undergoing elective laparotomy: A systematic review. World J Surg. 2013;37(8):1861–71.
dc.sourceFox SS, Johnson R, Fischer JP, Eckhauser F, Hope WW. Prophylactic mesh for hernia prevention: Has the time arrived? Plast Reconstr Surg. 2018;142(3S):180S-186S.
dc.sourceLorenz A, Kogler P, Kafka-Ritsch R, Öfner D, Perathoner A. Incisional hernia at the site of stoma reversal—incidence and risk factors in a retrospective observational analysis. Int J Colorectal Dis. 2019;34(7):1179–87.
dc.sourceBarranquero AG, Tobaruela E, Bajawi M, Muñoz P, Die Trill J, Garcia-Perez JC. Incidence and risk factors for incisional hernia after temporary loop ileostomy closure: choosing candidates for prophylactic mesh placement. Hernia [Internet]. 2020;24(1):93–8. Available from: https://doi.org/10.1007/s10029-019-02042-3
dc.sourceSchreinemacher MHF, Vijgen GHEJ, Dagnelie PC, Bloemen J, Huizinga BF, Bouvy ND. Incisional Hernias in Temporary Stoma Wounds. ARCH SURG. 2014;146(1):94–9.
dc.sourceFok CYJ, Fung TLD, Kwok KH. Predictors of morbidity related to stoma closure after colorectal cancer surgery. Langenbeck’s Arch Surg. 2021;406(2):349–56.
dc.sourceNiu N, Du S, Yang D, Zhang L, Wu B, Zhi X, et al. Risk factors for the development of a parastomal hernia in patients with enterostomy: a systematic review and meta-analysis. Int J Colorectal Dis. 2022;37(3):507–19.
dc.sourceŚmietański M, Szczepkowski M, Alexandre JA, Berger D, Bury K, Conze J, et al. European Hernia Society classification of parastomal hernias. Hernia. 2014;18(1):1–6.
dc.sourceHuang C, Ogawa R. The link between hypertension and pathological scarring: Does hypertension cause or promote keloid and hypertrophic scar pathogenesis? Wound Repair Regen. 2014;22(4):462–6.
dc.sourcevan den Hil LCL, van Steensel S, Schreinemacher MHF, Bouvy ND. Prophylactic mesh placement to avoid incisional hernias after stoma reversal: a systematic review and meta-analysis. Hernia. 2019;23(4):733–41.
dc.sourceFeldmann TF, Young MT, Pigazzi A. Incisional reinforcement in high-risk patients. Clin Colon Rectal Surg. 2014;27(4):149–55.
dc.sourceBhangu A, Nepogodiev D, Ives N, Magill L, Glasbey J, Forde C, et al. Prophylactic biological mesh reinforcement versus standard closure of stoma site (ROCSS): a multicentre, randomised controlled trial. Lancet. 2020;395(10222):417–26.
dc.sourceWarren JA, Beffa LR, Carbonell AM, Cull J, Sinopoli B, Ewing JA, et al. Prophylactic placement of permanent synthetic mesh at the time of ostomy closure prevents formation of incisional hernias. Surg (United States) [Internet]. 2018;163(4):839–46. Available from: https://doi.org/10.1016/j.surg.2017.09.041
dc.sourceShaw RD, Goldwag JL, Wilson LR, Ivatury SJ, Tsapakos MJ, Pauli EM, et al. Retrorectus mesh reinforcement of ileostomy site fascial closure: stoma closure and reinforcement (SCAR) trial phase I/II results. Hernia. 2022;26(6):1645–52.
dc.sourceMaggiori L, Moszkowicz D, Zappa M, Mongin C, Panis Y. Bioprosthetic mesh reinforcement during temporary stoma closure decreases the rate of incisional hernia: A blinded, case-matched study in 94 patients with rectal cancer. Surg (United States). 2015;158(6):1651–7.
dc.sourceinstname:Universidad del Rosario
dc.sourcereponame:Repositorio Institucional EdocUR
dc.subjectHernia incisional
dc.subjectCierre de estoma
dc.subjectReversión de estoma
dc.subjectFactores de riesgo
dc.subjectPrevención
dc.titleRisk factors associated to incisional hernia in stoma site after stoma closure: a systematic review and meta analysis
dc.typebachelorThesis


Este ítem pertenece a la siguiente institución