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Parastomal Hernia: Impact on Quality of Life?
Parastomal Hernia: Impact on Quality of Life?
- Source :
-
World Journal of Surgery . Oct2015, Vol. 39 Issue 10, p2595-2601. 7p. 5 Charts. - Publication Year :
- 2015
-
Abstract
- Introduction: Parastomal hernia (PH) is a frequent complication after end-colostomy formation. PH may negatively influence the quality of life in end-colostomy patients. Our study investigates the quality of life and body image (BI) in patients with an end-colostomy. Methods: We conducted a cross-sectional study of end-colostomy patients in two different hospitals. Patients were included if they had received a Hartmann procedure or abdominal perineal resection between 2004 and 2011. Patients were invited to the outpatient clinic for clinical examination to determine if a PH was present and were asked to fill out the Short form 36, EuroQol-5D, and body image questionnaire (BIQ). Results: One-hundred-and-fifty patients were eligible for the study; 139 filled out the questionnaires, of which 79 (56.8 %) had developed a PH. A linear multivariate regression showed PH caused a decrease in physical functioning (difference −10.2, p = 0.033) and general health (difference −9.0, p = 0.021), increase in pain (difference −11.3, p = 0.009) and decrease in the overall physical component score (difference −4.8, p = 0.020). The BIQ showed that PH increased the shame of the scar (difference −0.4, p = 0.010). Having an incisional hernia simultaneously decreased patients' scoring of the scar in the BIQ (difference −0.99, p = 0.015). Discussion: PHs cause significant decreases in quality of life and BI of patients. Counseling of patients towards PH and prevention of PH should therefore be of more concern in surgical departments. [ABSTRACT FROM AUTHOR]
- Subjects :
- *HERNIA surgery
*SURGICAL complications
*QUALITY of life
*COLOSTOMY
*COLON surgery
Subjects
Details
- Language :
- English
- ISSN :
- 03642313
- Volume :
- 39
- Issue :
- 10
- Database :
- Academic Search Index
- Journal :
- World Journal of Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 109189028
- Full Text :
- https://doi.org/10.1007/s00268-015-3107-4