Parastomal Hernia Following Ileal Conduit: Incidence, Risk Factors, and Health-Related Quality of Life.
Xinyan Che, Haiwen Huang, Wei Wang and 4 others
PMID 38527321WHAT IT FOUND
Forty-three of 219 patients with an ileal conduit developed a parastomal hernia, associated with overweight, prior hernia, and chronic cough, constipation, or abdominal distension.
Quality of life did not differ between those with and without a hernia.
Key findings
01The incidence of parastomal hernia was 19.63%, or 43 of 219 patients.
02In adjusted analysis, overweight BMI, hernia history, and chronic cough, constipation, or abdominal distension after discharge were associated with higher odds of parastomal hernia, while operations longer than 300 minutes were associated with lower odds.
03Quality of life did not differ significantly between patients with and without parastomal hernia, before or after adjustment.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study looked back at medical records, so it cannot show that the associated factors caused the hernia. Many patients were not analysed: 129 were lost to follow-up and 58 died, which may bias the sample. Not all patients had CT or ultrasound, so some hernias may have been missed. Quality of life was measured at one time point, not before and after hernia development. The sample came from one hospital in China, so results may not apply elsewhere.
Declared interests
The authors declared no conflict of interest.
The easy way to misread this
Do not conclude that a parastomal hernia is harmless. The study found no significant overall quality of life difference, but 16.3% of patients with a hernia required surgical repair.