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Region Hovedstaden - en del af Københavns Universitetshospital
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Surgical repair of parastomal bulging: a retrospective register-based study on prospectively collected data

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

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AIM: The aim of this work was to examine (1) the incidence of primary repair, (2) the incidence of recurrent repair and (3) the types of repair performed in patients with parastomal bulging.

METHOD: Prospectively collected data on parastomal bulging from the Danish Stoma Database were linked to surgical data on repair of parastomal bulging from the Danish National Patient Register. Survival statistics provided cumulative incidences and time until primary and recurrent repair.

RESULTS: In the study sample of 1016 patients with a permanent stoma and a parastomal bulge, 180 (18%) underwent surgical repair. The cumulative incidence of a primary repair was 9% [95% CI (8%; 11%)] within 1 year and 19% [95% CI (17%; 22%)] within 5 years after the occurrence of a parastomal bulge. We found a similar probability of undergoing primary repair in patients with ileostomy and colostomy. For recurrent repair, the 5-year cumulative incidence was 5% [95% CI (3%; 7%)]. In patients undergoing repair, the probability was 33% [95% CI (21%; 46%)] of having a recurrence requiring repair within 5 years. The main primary repair was open or laparoscopic repair with mesh (43%) followed by stoma revision (39%). Stoma revision and repair with mesh could precede or follow one another as primary and recurrent repair. Stoma reversal was performed in 17% of patients.

CONCLUSION: Five years after the occurrence of a parastomal bulge the estimated probability of undergoing a repair was 19%. Having undergone a primary repair, the probability of recurrent repair was high. Stoma reversal was more common than expected.

OriginalsprogEngelsk
TidsskriftColorectal Disease
Vol/bind22
Udgave nummer11
Sider (fra-til)1704-1713
Antal sider10
ISSN1462-8910
DOI
StatusUdgivet - nov. 2020

Bibliografisk note

Funding Information:
We thank the DSDCR and DNPR. We acknowledge the Stoma Care Nurses in the Capital Region of Denmark for data acquisition. We thank funding sponsors: The Capital Region of Denmark, Foundation for Health Research; The Research Council at Herlev Gentofte Hospital; The Novo Nordic Foundation NNF16OC0023578 and NNF170C0029524; Rigshospitalet, grant E‐22647‐05; The Ostomy Association Copa. The funding had no impact on the study.

ID: 61250705