Radiological progression of end colostomy trephine diameter and area.

ABSTRACT:

Background

Development of a parastomal hernia is common following abdominoperineal excision (APE). The true incidence is difficult to assess fully owing to differing lengths of follow-up and techniques used to assess herniation; radiological or clinical. The primary aim of this study was to evaluate colostomy diameter by studying the rate of change of axial and sagittal trephine diameters, trephine area, and the ratio of the trephine over time. A secondary aim was to investigate variation in trephine area and variables affecting parasternal hernia over time.

Methods

Serial CT scans performed after APE from January 2006 to December 2014 were reviewed. Variables analysed included age, sex, trephine position relative to rectus abdominis muscle (RAM), type of incision for stoma

SUBMITTER: Ho KK 

PROVIDER: S-EPMC6354228 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature