Analysis of risk factors and predictors of parastomal hernia formation in patients after colostomy
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 colo...
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| Format: | Article |
| Language: | English |
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Penza State University Publishing House
2022-04-01
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| Series: | Известия высших учебных заведений. Поволжский регион: Медицинские науки |
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| _version_ | 1818204155528871936 |
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| author | K.I. Sergatskiy V.I. Nikol'skiy Ya.E. Feoktistov V.E. Kiselev A.E. Kvasov D.A. Logachev |
| author_facet | K.I. Sergatskiy V.I. Nikol'skiy Ya.E. Feoktistov V.E. Kiselev A.E. Kvasov D.A. Logachev |
| author_sort | K.I. Sergatskiy |
| collection | DOAJ |
| description | 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). |
| first_indexed | 2024-12-12T03:36:45Z |
| format | Article |
| id | doaj.art-54c1d27cc05b4144838a31e6b659ec51 |
| institution | Directory Open Access Journal |
| issn | 2072-3032 |
| language | English |
| last_indexed | 2024-12-12T03:36:45Z |
| publishDate | 2022-04-01 |
| publisher | Penza State University Publishing House |
| record_format | Article |
| series | Известия высших учебных заведений. Поволжский регион: Медицинские науки |
| spelling | doaj.art-54c1d27cc05b4144838a31e6b659ec512022-12-22T00:39:47ZengPenza State University Publishing HouseИзвестия высших учебных заведений. Поволжский регион: Медицинские науки2072-30322022-04-01110.21685/2072-3032-2022-1-3Analysis of risk factors and predictors of parastomal hernia formation in patients after colostomyK.I. Sergatskiy0V.I. Nikol'skiy1Ya.E. Feoktistov2V.E. Kiselev3A.E. Kvasov4D.A. Logachev5Penza State UniversityPenza State UniversityMoscow Clinical Scientific Center named after A.S. LoginovPenza State UniversityPenza Regional Clinical Hospital named after N.N. BurdenkoPenza Regional Clinical Hospital named after N.N. BurdenkoBackground. 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).colostomyparastomal herniarisk factorsformation predictors |
| spellingShingle | K.I. Sergatskiy V.I. Nikol'skiy Ya.E. Feoktistov V.E. Kiselev A.E. Kvasov D.A. Logachev Analysis of risk factors and predictors of parastomal hernia formation in patients after colostomy Известия высших учебных заведений. Поволжский регион: Медицинские науки colostomy parastomal hernia risk factors formation predictors |
| title | Analysis of risk factors and predictors of parastomal hernia formation in patients after colostomy |
| title_full | Analysis of risk factors and predictors of parastomal hernia formation in patients after colostomy |
| title_fullStr | Analysis of risk factors and predictors of parastomal hernia formation in patients after colostomy |
| title_full_unstemmed | Analysis of risk factors and predictors of parastomal hernia formation in patients after colostomy |
| title_short | Analysis of risk factors and predictors of parastomal hernia formation in patients after colostomy |
| title_sort | analysis of risk factors and predictors of parastomal hernia formation in patients after colostomy |
| topic | colostomy parastomal hernia risk factors formation predictors |
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