Show simple item record

dc.contributor.authorHarries, R.
dc.contributor.authorDaniels, Ian R.
dc.contributor.authorSmart, Neil J.
dc.date.accessioned2020-08-18T10:21:57Z
dc.date.available2020-08-18T10:21:57Z
dc.date.issued2020-03-06
dc.identifier.citationOutcomes of surgically managed recurrent parastomal hernia: the Sisyphean challenge of the hernia world. Harries RL et al. Hernia. 2020 Mar 6. doi: 10.1007/s10029-020-02161-2. [Epub ahead of print]en_US
dc.identifier.pmid32144507
dc.identifier.doi10.1007/s10029-020-02161-2
dc.identifier.urihttps://rde.dspace-express.com/handle/11287/621370
dc.description.abstractPurpose: The management of a recurrent (symptomatic) parastomal hernia (PSH) presents a dilemma. The aim of this study was to review the outcome of patients who underwent a recurrent PSH repair. Methods: Retrospective review of consecutive patients undergoing recurrent PSH repairs at a single institution between 2010 and 2019. Primary outcome recorded was recurrence. Secondary outcomes recorded were 30-day post-operative complications, surgical site occurrence (SSO) incidence and to assess if EHS classification altered with each recurrence. Results: Thirty-eight patients underwent 59 recurrent PSH repairs during the study period. Median number of PSH repairs per patient from ostomy formation was 2 (2-8). Post-operative complications occurred following 52.5% of repairs. Recurrence rate for all recurrent PSH hernia repairs was 45.7%, with a median follow-up of 58 months (0-115). A trend was seen towards a shorter PSH recurrence-free survival in those who had at least two previous PSH repairs at the start of the study period when compared to those who had less. Recurrence was not associated with operative urgency, type of repair, mesh type or SSO occurrence. A significant decrease in recurrence was seen with retro-rectus mesh placement when compared to onlay (p = 0.003). EHS classification did not change between each recurrence in 70.8% of patients. Conclusion: Recurrence rates after recurrent PSH repair are high. The recurrence-free survival was worse after the second or more attempt at repair for recurrence. Further studies are warranted to explore prophylaxis, optimal repair method, and where re-recurrence occurs, the benefit of repeated surgical intervention.en_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.urlhttps://dx.doi.org/10.1007/s10029-020-02161-2en_US
dc.rightsCopyright © 2020, Springer Natureen_US
dc.subjectHerniaen_US
dc.subjectMeshen_US
dc.subjectOstomyen_US
dc.subjectParastomalen_US
dc.subjectRecurrenceen_US
dc.subjectStomaen_US
dc.titleOutcomes of surgically managed recurrent parastomal hernia: the Sisyphean challenge of the hernia worlden_US
dc.typeJournal Articleen_US
dc.identifier.journalHerniaen_US
dc.description.noteThis article is available to RD&E staff via NHS OpenAthens. Click on the Publisher URL, and log in with NHS OpenAthens if prompted.en_US
dc.type.versionIn press (epub ahead of print)en_US
dc.description.admin-notepublished version, accepted version (12 month embargo),en_US


Files in this item

FilesSizeFormatView

There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record