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World Journal of Surgery

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01-12-2021 | Enterostomy | Original Scientific Report

Abdominal Oblique Internal and External Muscles Gap Colostomy for Lower Incidence of Parastomal Hernia and Higher Quality of Life: A Retrospective Cohort Study

Authors: Yongjian Huang, Hengkai Chen, Qiajun Zheng, Xiaohan Lin, Guangwei Zhu, Jinzhou Wang, Changli Huang, Jianxin Ye

Published in: World Journal of Surgery | Issue 12/2021

Abstract

Background

Parastomal hernia and fecal incontinence cause severe distress to the rectal cancer patients with stoma after abdominoperineal resection. We attempted a new colostomy technique through the gap between the abdominal oblique internal and external muscles to prevent parastomal hernia and improve quality of life.

Methods

This cohort study retrospectively examined clinical data from a total of 114 consecutive rectal cancer patients who underwent laparoscopic abdominoperineal resection in our center from March 2016 to March 2018 after propensity score matching. Group A included 57 patients who underwent colostomy through the gap between the abdominal oblique internal and oblique external muscles, while group B included 57 patients who underwent extraperitoneal colostomy. Patients’ quality of life was evaluated using Fecal Incontinence Quality of Life (FIQL) Scale.

Results

Group A had a lower incidence of parastomal hernia (0% vs. 15.7%, p = 0.004) and higher quality of life, especially in lifestyle, coping/behavior and embarrassment domains (all p values < 0.05) than group B both during the follow-up period. The incidence of other outcomes did not differ between the groups.

Conclusions

Colostomy through the gap between the abdominal oblique internal and oblique external muscle is a new technique showing both safety and effectiveness for preventing parastomal hernia and improving quality of life after laparoscopic abdominoperineal resection.

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Title: Abdominal Oblique Internal and External Muscles Gap Colostomy for Lower Incidence of Parastomal Hernia and Higher Quality of Life: A Retrospective Cohort Study
Authors: Yongjian Huang
Hengkai Chen
Qiajun Zheng
Xiaohan Lin
Guangwei Zhu
Jinzhou Wang
Changli Huang
Jianxin Ye
Publication date: 01-12-2021
Publisher: Springer International Publishing
Keywords: Enterostomy
Fecal Incontinence
Enterostomy
Colostomy
Parastomale Hernie
Published in: World Journal of Surgery / Issue 12/2021
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-021-06294-y

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Abdominal Oblique Internal and External Muscles Gap Colostomy for Lower Incidence of Parastomal Hernia and Higher Quality of Life: A Retrospective Cohort Study

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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