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Parastomal Hernia: Impact on Quality of Life?

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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.


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).


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).


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.

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Correspondence to Lucas Timmermans.

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van Dijk, S.M., Timmermans, L., Deerenberg, E.B. et al. Parastomal Hernia: Impact on Quality of Life?. World J Surg 39, 2595–2601 (2015).

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