Effectiveness of hybrid intraperitoneal mesh repair for paracolostomy hernia

Malgina NV1,2, Dolgina TYu1,2, Epifanova AD3, Rodoman GV1,2
About authors

1 City Clinical Hospital № 24, Moscow, Russia

2 Pirogov Russian National Research Medical University, Moscow, Russia

3 Sechenov First Moscow State Medical University, Moscow, Russia

Correspondence should be addressed: Tamara Yu. Dolgina
Pistsovaya, 10, 127015, Moscow; ur.xednay@aramat-aniglod

About paper

Author contribution: Rodoman GV — the final version of the manuscript; Malgina NV — study concept and design; Dolgina TYu — data acquisition, manuscript draft; Epifanova AD — statistical analysis.

Compliance with ethical standards: the study was approved by the Ethics Committee of Pirogov Russian National Research Medical University (Protocol № 160 dated December 19, 2016)

Received: 2021-07-10 Accepted: 2021-07-25 Published online: 2021-08-17

Due to advances in medical science, the frequency of surgical interventions that once ended in end-stoma formation has decreased significantly. An ostomy is a life-saving surgery performed when there are no other options. Unfortunately, the number of patients with life-threatening conditions requiring colostomy or ileostomy is growing. A stoma in itself is a cause of social alienation; stoma-associated complications reduce the quality of life and debilitate the patient. The aim of this study was to assess the effectiveness of hybrid intraperitoneal mesh repair of paracolostomy hernia using a modified EUROQOL 5D-5L questionnaire. Sixty patients with paracolostomy hernias included in the study were divided in 2 groups (30 persons per group). The experimental group (10 (33%) men and 20 (67%) women) and the control group (11 (37%) men and 19 (63%) women) were comparable in terms of sex (р = 0.787) and age (66.5 (62.2; 72.0) years vs. 65.0 (61.25; 71.75) years, respectively; р = 0.246).  Patients included in the control group underwent a classic Sugarbaker procedure; the experimental group underwent hybrid intraperitoneal mesh repair. The quality of life of the patients was evaluated before surgery and then 1 and 2 years after surgery using a modified EUROQOL 5D-5L questionnaire. Hybrid intraperitoneal mesh repair proved to be effective in the early and late postoperative periods. Based on the significant improvement of the patients’ quality of life after hybrid intraperitoneal mesh repair, we conclude that this technique is an effective surgical treatment for paracolostomy hernias.

Keywords: quality of life, surgery, paracolostomy hernia, questionnaire