{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T22:51:17Z","timestamp":1793832677372,"version":"4.6.1"},"reference-count":29,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,2,9]],"date-time":"2021-02-09T00:00:00Z","timestamp":1612828800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,2,9]],"date-time":"2021-02-09T00:00:00Z","timestamp":1612828800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,2,9]],"date-time":"2021-02-09T00:00:00Z","timestamp":1612828800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"University of Oulu including Oulu University Hospital"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Parastomal hernia repair is a complex surgical procedure with high recurrence and complication rates. This retrospective nationwide cohort study presents the results of different parastomal hernia repair techniques in Finland.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All patients who underwent a primary end ostomy parastomal hernia repair in the nine participating hospitals during 2007\u20132017 were included in the study. The primary outcome measure was recurrence rate. Secondary outcomes were complications and re\u2010operation rate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 235 primary elective parastomal hernia repairs were performed in five university hospitals and four central hospitals in Finland during 2007\u20132017. The major techniques used were the Sugarbaker (38.8%), keyhole (16.3%), and sandwich techniques (15.4%). In addition, a specific intra\u2010abdominal keyhole technique with a funnel\u2010shaped mesh was utilized in 8.3% of the techniques; other parastomal hernia repair techniques were used in 21.3% of the cases. The median follow\u2010up time was 39.0\u00a0months (0\u2013146, SD 35.3). The recurrence rates after the keyhole, Sugarbaker, sandwich, specific funnel\u2010shaped mesh, and other techniques were 35.9%, 21.5%, 13.5%, 15%, and 35.3%, respectively. The overall re\u2010operation rate was 20.4%, while complications occurred in 26.3% of patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The recurrence rate after parastomal hernia repair is unacceptable in this nationwide cohort study. As PSH repair volumes are low, further multinational, randomized controlled trials and hernia registry data are needed to improve the results.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-021-05990-z","type":"journal-article","created":{"date-parts":[[2021,2,10]],"date-time":"2021-02-10T05:01:46Z","timestamp":1612933306000},"page":"1742-1749","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":61,"title":["Parastomal Hernia: A Retrospective Nationwide Cohort Study Comparing Different Techniques with Long\u2010Term Follow\u2010Up"],"prefix":"10.1002","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4408-2514","authenticated-orcid":false,"given":"Elisa","family":"M\u00e4k\u00e4r\u00e4inen\u2010Uhlb\u00e4ck","sequence":"first","affiliation":[{"name":"Department of Surgery, Medical Research Center University of Oulu, Oulu University Hospital 29, 90029 OYS Oulu PL Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaana","family":"Vironen","sequence":"additional","affiliation":[{"name":"Abdominal Center Helsinki University Hospital PL 8000 00029 HUS Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ville","family":"Falenius","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Turku PL 52 20521 Turku Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pia","family":"Nordstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Surgery Tampere University Hospital PL 2000 3352o Tampere Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anu","family":"V\u00e4likoski","sequence":"additional","affiliation":[{"name":"Department of Surgery Tampere University Hospital PL 2000 3352o Tampere Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jyrki","family":"K\u00f6ssi","sequence":"additional","affiliation":[{"name":"Department of Surgery P\u00e4ij\u00e4t\u2010H\u00e4me Central Hospital Keskussairaalankatu 7 15850 Lahti Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aristotelis","family":"Kechagias","sequence":"additional","affiliation":[{"name":"Department of Surgery Kanta\u2010H\u00e4me Central Hospital Ahvenistontie 20 13530 H\u00e4meenlinna Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maija","family":"Kalliala","sequence":"additional","affiliation":[{"name":"Department of Surgery Joensuu Central Hospital Tikkam\u00e4entie 16 80210 Joensuu Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Mattila","sequence":"additional","affiliation":[{"name":"Department of Surgery Keski\u2010Suomi Central Hospital Keskussairaalantie 19 40620 Jyv\u00e4skyl\u00e4 Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tuomo","family":"Rantanen","sequence":"additional","affiliation":[{"name":"Department of Surgery Kuopio University Hospital PL 100 70029 KYS Kuopio Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom","family":"Scheinin","sequence":"additional","affiliation":[{"name":"Abdominal Center Helsinki University Hospital PL 8000 00029 HUS Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pasi","family":"Ohtonen","sequence":"additional","affiliation":[{"name":"Division of Operative Care Oulu University Hospital PL 29 90029 OYS Oulu Finland"},{"name":"The Research Unit of Surgery, Anesthesia and Intensive Care University of Oulu Oulu Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tero","family":"Rautio","sequence":"additional","affiliation":[{"name":"Department of Surgery, Medical Research Center University of Oulu, Oulu University Hospital 29, 90029 OYS Oulu PL Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,2,9]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000670"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029\u2010017\u20101697\u20105"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2017.04.030"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.14249"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384\u2010019\u201003292\u20104"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.13962"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jviscsurg.2011.10.006"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.13403"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010015\u20103107\u20104"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000732"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2018.07.658"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010015\u20103187\u20101"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010013\u20103172\u20104"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31824b44b1"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v21.i28.8670"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010012\u20102464\u20104"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350\u2010007\u20109028\u2010z"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029\u2010008\u20100435\u20104"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029\u2010014\u20101302\u20100"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/1457496918818984"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0b013e3182a0e6e2"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010017\u20104130\u20104"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2017.0313"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605\u2010014\u20102575\u20104"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029\u2010019\u201001921\u2010z"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1503\/cjs.019018"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000002542"},{"key":"e_1_2_9_29_1","doi-asserted-by":"crossref","unstructured":"PrudhommeM RullierE LakkisZ et al (2020) GRECCAR research group. End colostomy with or without mesh to prevent a parastomal hernia (GRECCAR 7): a prospective randomized double blinded multicentre trial.Ann Surg. doi:https:\/\/doi.org\/10.1097\/SLA.0000000000004371. Epub ahead of print.","DOI":"10.1097\/SLA.0000000000004371"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029\u2010016\u20101489\u20103"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-021-05990-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00268-021-05990-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-021-05990-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-021-05990-z","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,7]],"date-time":"2024-01-07T16:25:05Z","timestamp":1704644705000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-021-05990-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,9]]},"references-count":29,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021,6]]}},"alternative-id":["10.1007\/s00268-021-05990-z"],"URL":"https:\/\/doi.org\/10.1007\/s00268-021-05990-z","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,9]]},"assertion":[{"value":"24 January 2021","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 February 2021","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"All the authors confirm they have no conflicts of interest or competing interests to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}