The Risk Factors for Parastomal Hernia Development: A 8-year Retrospective Study in Colorectal Surgery

Background: Although parastomal hernia is a common complication of ostomy surgery, the exact risk factors for its development remain unclear. The aim this study was to determine incidence and in patients. 
 Methods: A retrospective conducted. data from cohort 952 patients' hospital records between 2013 2020 were extracted analyzed. Patients’ ostomy-related characteristics, notes, occurrence retrieved. Results: mean age 59.6 years (±14.4 years), 524 (55%) them male. Colorectal cancer (476 patients,50%) most etiology surgery. Parastomal developed 100 (10.5%) Age >65 (OR=1.753; 95%CI=1.071-2.869), BMI >24.9 (OR=2.009; 95%CI=1.201-3.362), co-morbidity (OR=1.773; 95%CI=1.021-3.080), laparoscopic surgery (OR=5.643; 95%CI=3.113-10.230), height (OR=1.906; 95%CI=1.122-3.236), left lower quadrant location (OR=2.252; 95%CI=1.319-3.845), prolapse (OR=7.876; 95%CI=3.571-17.372), other complications (OR=2.888; 95%CI=1.179-7.074) based on logistic regression analysis. Conclusion: nearly one ten patients after colorectal with an ostomy. Advanced age, co-morbidity, ostomy, location, prolapse, independent factors.