Article 3122

Title of the article

Analysis of risk factors and predictors of parastomal hernia formation in patients after colostomy 

Authors

Konstantin I. Sergatskiy, Doctor of medical sciences, associate professor, professor of the sub-department of surgery, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia); coloproctologist of the department of coloproctology, Penza Regional Clinical Hospital named after N.N. Burdenko (28 Lermontova street, Penza, Russia), E-mail: sergatsky@bk.ru
Valeriy I. Nikol'skiy, Doctor of medical sciences, professor, professor of the sub-department of surgery, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: pmisurg@gmail.com
Yaroslav E. Feoktistov, Candidate of medical sciences, surgeon, Moscow Clinical Scientific Center named after A.S. Loginov (86 Entuziastov highway, Moscow, Russia), E-mail: pmisurg@gmail.com
Vladislav E. Kiselev, Postgraduate student, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia); surgeon of the department of surgery No. 2, Penza Regional Clinical Hospital named after N.N. Burdenko (28 Lermontova street, Penza, Russia), E-mail: kiselyov999@mail.ru
Aleksey E. Kvasov, Head of the department of surgery No. 3, Penza Regional Clinical Hospital named after N.N. Burdenko (28 Lermontova street, Penza, Russia), E-mail: pmisurg@gmail.com
Denis A. Logachev, Head of the department of surgery No. 2, Penza Regional Clinical Hospital named after N.N. Burdenko (28 Lermontova street, Penza, Russia), E-mail: pmisurg@gmail.com 

Abstract

Background. Currently, the number of emergency operations ending with the removal of a colostomy, performed in a planned and emergency manner, continues to grow in the world. The presence of an uncomplicated lifelong colostomy already creates psychological difficulties for the patient, and a colostomy complicated by the presence of a parastomal hernia further reduces the quality of life of patients. The purpose of the study is to evaluate the results of treatment of patients who underwent colostomy in order to identify risk factors and predictors for the formation of parastomal hernias. Materials and methods. The analysis of the treatment of 107 patients of surgical departments of the Penza Regional Clinical Hospital named after N. N. Burdenko with various abdominal pathologies that required the removal of a colostomy in 2017-2020. Results. The results of treatment of patientswith stomas were evaluated on the basis of statistical methods of data processing. Conclusions. The analysis revealed the following risk factors for the formation of parastomal hernia: colorectal cancer as the cause of colostomy, history of constipation, removal of the colostomy through the external oblique muscle of the abdomen, smoking, suppuration of the wound in the postoperative period. A predictor of hernia formation is a body mass index of more than 32.1 (kg/m2). 

Key words

colostomy, parastomal hernia, risk factors, formation predictors 

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For citation:

Sergatskiy K.I., Nikol'skiy V.I., Feoktistov Ya.E., Kiselev V.E., Kvasov A.E., Logachev D.A. Analysis of risk factors and predictors of parastomal hernia formation in patients after colostomy. Izvestiya vysshikh uchebnykh zavedeniy. Povolzhskiy region. Meditsinskie nauki = University proceedings. Volga region. Medical sciences. 2022;(1):26–36. (In Russ.). doi:10.21685/2072-3032-2022-1-3

 

Дата создания: 06.04.2022 14:19
Дата обновления: 06.04.2022 15:00