| Summary: | 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).
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