Risk factors associated to incisional hernia in stoma site after stoma closure: a systematic review and meta analysis
Este estudio tiene como objetivo identificar qué factores de riesgo están asociados a la aparición de una hernia incisional en el sitio de un estoma después de su cierre. Esto con el fin de identificar qué pacientes se beneficiarían de una intervención preventiva y así comenzar a implementar un prot...
- Autores:
- Tipo de recurso:
- Fecha de publicación:
- 2023
- Institución:
- Universidad del Rosario
- Repositorio:
- Repositorio EdocUR - U. Rosario
- Idioma:
- spa
- OAI Identifier:
- oai:repository.urosario.edu.co:10336/40662
- Acceso en línea:
- https://doi.org/10.48713/10336_40662
https://repository.urosario.edu.co/handle/10336/40662
- Palabra clave:
- Hernia incisional
Cierre de estoma
Reversión de estoma
Factores de riesgo
Prevención
Incisional hernia
stoma closure
stoma reversal
risk factors
prevention
- Rights
- License
- Attribution-NonCommercial-NoDerivatives 4.0 International
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| dc.title.none.fl_str_mv |
Risk factors associated to incisional hernia in stoma site after stoma closure: a systematic review and meta analysis |
| dc.title.TranslatedTitle.none.fl_str_mv |
Factores de riesgo asociados a la hernia incisional en el sitio del estoma posterior a su cierre: Una revisión sistemática y metaanálisis |
| title |
Risk factors associated to incisional hernia in stoma site after stoma closure: a systematic review and meta analysis |
| spellingShingle |
Risk factors associated to incisional hernia in stoma site after stoma closure: a systematic review and meta analysis Hernia incisional Cierre de estoma Reversión de estoma Factores de riesgo Prevención Incisional hernia stoma closure stoma reversal risk factors prevention |
| title_short |
Risk factors associated to incisional hernia in stoma site after stoma closure: a systematic review and meta analysis |
| title_full |
Risk factors associated to incisional hernia in stoma site after stoma closure: a systematic review and meta analysis |
| title_fullStr |
Risk factors associated to incisional hernia in stoma site after stoma closure: a systematic review and meta analysis |
| title_full_unstemmed |
Risk factors associated to incisional hernia in stoma site after stoma closure: a systematic review and meta analysis |
| title_sort |
Risk factors associated to incisional hernia in stoma site after stoma closure: a systematic review and meta analysis |
| dc.contributor.advisor.none.fl_str_mv |
Ramírez Giraldo, Camilo Rojas López, Susana |
| dc.subject.none.fl_str_mv |
Hernia incisional Cierre de estoma Reversión de estoma Factores de riesgo Prevención |
| topic |
Hernia incisional Cierre de estoma Reversión de estoma Factores de riesgo Prevención Incisional hernia stoma closure stoma reversal risk factors prevention |
| dc.subject.keyword.none.fl_str_mv |
Incisional hernia stoma closure stoma reversal risk factors prevention |
| description |
Este estudio tiene como objetivo identificar qué factores de riesgo están asociados a la aparición de una hernia incisional en el sitio de un estoma después de su cierre. Esto con el fin de identificar qué pacientes se beneficiarían de una intervención preventiva y así comenzar a implementar un protocolo rentable para la colocación de mallas profilácticas en pacientes de alto riesgo. Métodos: Se realizó una revisión sistemática de PubMed, Cochrane Library y ScienceDirect de acuerdo con las guías PRISMA. Se incluyeron los estudios que informaron la incidencia, los factores de riesgo y el tiempo de seguimiento para la aparición de hernia incisional después del cierre del sitio del estoma. Se utilizaron modelos de efectos fijos y efectos aleatorios para calcular las estimaciones de las razones de probabilidad y los valores medios estandarizados con sus respectivos intervalos de confianza del 95 % agrupados. Esto para evaluar la asociación entre posibles factores de riesgo y la aparición de hernia incisional posterior al cierre del sitio del estoma. Resultados: se incluyeron 17 estudios con un total de 2899 pacientes. La proporción de incidencia entre los estudios incluidos fue del 17,78% (IC95%: 13,51 – 22,50%). De los factores evaluados obesidad (p<0,001, índice (p<0,001, d de Cohen=0,63, SE=011), presencia de hernia paraestomal (p=0,001, LogOR=1,24, SE=0,38), colostomía (p=0,001 LogOR=-0,71, SE=0,15) y estoma terminal (p=0,040, LogOR=-0,38, SE=-0,18) se asociaron con la aparición de hernia incisional en el sitio del estoma después del cierre del estoma.Conclusiones: Malla profiláctica la colocación debe considerarse como una intervención preventiva eficaz en pacientes de alto riesgo (pacientes obesos, pacientes con hernia paraestomal, colostomía y pacientes con estoma terminal) con el objetivo de reducir las tasas de hernia incisional en el sitio del estoma después del cierre sin dejar de ser rentable. |
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2023 |
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2023-08-11T16:29:05Z |
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2023-08-11T16:29:05Z |
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2023-08-01 |
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bachelorThesis |
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http://purl.org/coar/resource_type/c_7a1f |
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Trabajo de grado |
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Trabajo de grado |
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https://doi.org/10.48713/10336_40662 |
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https://repository.urosario.edu.co/handle/10336/40662 |
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https://doi.org/10.48713/10336_40662 https://repository.urosario.edu.co/handle/10336/40662 |
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spa |
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spa |
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Attribution-NonCommercial-NoDerivatives 4.0 International |
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http://purl.org/coar/access_right/c_abf2 |
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Abierto (Texto Completo) |
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http://creativecommons.org/licenses/by-nc-nd/4.0/ |
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Attribution-NonCommercial-NoDerivatives 4.0 International Abierto (Texto Completo) http://creativecommons.org/licenses/by-nc-nd/4.0/ http://purl.org/coar/access_right/c_abf2 |
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32 |
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application/pdf |
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Universidad del Rosario |
| dc.publisher.department.none.fl_str_mv |
Escuela de Medicina y Ciencias de la Salud |
| dc.publisher.program.none.fl_str_mv |
Especialización en Cirugía General |
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Universidad del Rosario |
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Universidad del Rosario |
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Wilson 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 De 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 Bhangu 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 Stabilini 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 Peltrini 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 Mohamedahmed 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. Alli 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 Sheikh 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). Rhemtulla 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 Smith 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. Lambrichts 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. Harries RL, Torkington J. Stomal Closure: Strategies to Prevent Incisional Hernia. Front Surg. 2018;5(April):1–7. Page 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. Muka 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 Slim 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. DerSimonian R, Laird N. Meta-analysis in clinical trials revisited. Contemp Clin Trials. 2015;45:139–45. Schwarzer G, Carpenter JR, Rücker G. Meta-Analysis with R. First. Springer Cham; 2023. 1–218 p. Calvo 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 Ramírez-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 Bloomfield 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. Mongelard K, Mynster T, Jensen KK. Stoma-site hernia after stoma reversal following rectal cancer resection. Dan Med J. 2020;67(3):1–5. Eklöv 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 Kelly-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. De 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. Kaneko 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 Brook 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 Amelung 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. Vergara-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. Oriel BS, Chen Q, Itani KMF. Incidence, recurrence and risk factors of hernias following stoma reversal. Am J Surg. 2017;214(2):232–8. Fazekas 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. De 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. Sharp 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. Cingi A, Solmaz A, Attaallah W, Aslan A, Aktan AO. Enterostomy closure site hernias: A clinical and ultrasonographic evaluation. Hernia. 2008;12(4):401–5. Cingi A, Cakir T, Sever A, Aktan AO. Enterostomy site hernias: A clinical and computerized tomographic evaluation. Dis Colon Rectum. 2006;49(10):1559–63. Simons 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. Henriksen 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 Nachiappan 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. Fox 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. Lorenz 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. Barranquero 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 Schreinemacher MHF, Vijgen GHEJ, Dagnelie PC, Bloemen J, Huizinga BF, Bouvy ND. Incisional Hernias in Temporary Stoma Wounds. ARCH SURG. 2014;146(1):94–9. Fok 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. Niu 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. Śmietański 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. Huang 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. van 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. Feldmann TF, Young MT, Pigazzi A. Incisional reinforcement in high-risk patients. Clin Colon Rectal Surg. 2014;27(4):149–55. Bhangu 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. Warren 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 Shaw 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. Maggiori 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. |
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Ramírez Giraldo, Camilo194ac4d1-afa7-4ed1-9dea-de2113f89328-1Rojas López, Susana0078bb61-50f5-4acb-a092-b490141eb3bfRamírez Giraldo, CamiloVan Londoño, IsabellaHernández Ferreira, JulianaHernández Álvarez, DanielaRojas López, SusanaEspecialista en Cirugía GeneralMaestríaFull time4ba1b070-a9dd-47d0-b94d-5cfea228150d-1b61abc6b-284c-4829-be5b-a73a2f0ae89a-145b78c23-938c-4c0a-9086-c18af2687103-18ac9b2d0-5199-4df5-8ece-193830aa5abf-1ca099423-59ea-4a9a-8a36-2174c53bd2d6-12023-08-11T16:29:05Z2023-08-11T16:29:05Z2023-08-01Este estudio tiene como objetivo identificar qué factores de riesgo están asociados a la aparición de una hernia incisional en el sitio de un estoma después de su cierre. Esto con el fin de identificar qué pacientes se beneficiarían de una intervención preventiva y así comenzar a implementar un protocolo rentable para la colocación de mallas profilácticas en pacientes de alto riesgo. Métodos: Se realizó una revisión sistemática de PubMed, Cochrane Library y ScienceDirect de acuerdo con las guías PRISMA. Se incluyeron los estudios que informaron la incidencia, los factores de riesgo y el tiempo de seguimiento para la aparición de hernia incisional después del cierre del sitio del estoma. Se utilizaron modelos de efectos fijos y efectos aleatorios para calcular las estimaciones de las razones de probabilidad y los valores medios estandarizados con sus respectivos intervalos de confianza del 95 % agrupados. Esto para evaluar la asociación entre posibles factores de riesgo y la aparición de hernia incisional posterior al cierre del sitio del estoma. Resultados: se incluyeron 17 estudios con un total de 2899 pacientes. La proporción de incidencia entre los estudios incluidos fue del 17,78% (IC95%: 13,51 – 22,50%). De los factores evaluados obesidad (p<0,001, índice (p<0,001, d de Cohen=0,63, SE=011), presencia de hernia paraestomal (p=0,001, LogOR=1,24, SE=0,38), colostomía (p=0,001 LogOR=-0,71, SE=0,15) y estoma terminal (p=0,040, LogOR=-0,38, SE=-0,18) se asociaron con la aparición de hernia incisional en el sitio del estoma después del cierre del estoma.Conclusiones: Malla profiláctica la colocación debe considerarse como una intervención preventiva eficaz en pacientes de alto riesgo (pacientes obesos, pacientes con hernia paraestomal, colostomía y pacientes con estoma terminal) con el objetivo de reducir las tasas de hernia incisional en el sitio del estoma después del cierre sin dejar de ser rentable.This 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.32application/pdfhttps://doi.org/10.48713/10336_40662 https://repository.urosario.edu.co/handle/10336/40662spaUniversidad del RosarioEscuela de Medicina y Ciencias de la SaludEspecialización en Cirugía GeneralAttribution-NonCommercial-NoDerivatives 4.0 InternationalAbierto (Texto Completo)EL 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. 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