{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T03:25:10Z","timestamp":1785813910081,"version":"3.56.0"},"reference-count":40,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,2,3]],"date-time":"2017-02-03T00:00:00Z","timestamp":1486080000000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The symptom load and individual symptoms before and after repair of parastomal hernia were investigated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Stoma\u2010related symptoms were prospectively recorded before repair of a parastomal hernia and at 10\u00a0days and 6\u00a0months postoperatively: leakage, skin problems, difficulty with the appliance, limitation of activity, difficulty with clothing, cosmetic complaints, social restriction, erratic action of the stoma, a bearing\u2010down sensation at the site of the stoma and pain. Episodes of intermittent bowel obstruction and difficulty with irrigation were also recorded. Patients were seen at 1, 2 and 3\u00a0years and were examined for recurrent parastomal herniation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 131 consecutive patients referred to a specialized centre for treatment of parastomal bulging, 61 underwent parastomal hernia repair. Forty\u2010eight patients were treated with the Sugarbaker technique. Six different symptoms were present in more than half the patients before surgery. The overall symptom load decreased significantly from a median of 4 [interquartile range (<jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content>) 2.5\u20136] preoperatively to 2 (<jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content> 1\u20133) on postoperative day 10 and 1 (<jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content> 0\u20132) at 6\u00a0months, <jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.001. The number of symptoms decreased in 93% of patients; in 5% there was no change and in 2% symptoms increased. Skin problems and leakage were the only symptoms that were not significantly reduced. The overall recurrence rate of herniation was 5\/48 (10%) at a median of 12 (<jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content> 6\u201324)\u00a0months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The preoperative symptom load was high and this fell after repair in over 90% of patients. Recurrence occurred in 10% of patients within 2\u00a0years of repair. The study emphasizes the importance of detailed knowledge of the symptoms of parastomal hernia when addressing and managing patients\u2019 problems and complaints.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.13403","type":"journal-article","created":{"date-parts":[[2016,6,1]],"date-time":"2016-06-01T23:42:00Z","timestamp":1464824520000},"page":"200-207","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Symptom load and individual symptoms before and after repair of parastomal hernia: a prospective single centre study"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6528-5639","authenticated-orcid":false,"given":"M.","family":"Krogsgaard","sequence":"first","affiliation":[{"name":"Digestive Disease Center Bispebjerg Hospital University of Copenhagen Copenhagen NV Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Pilsgaard","sequence":"additional","affiliation":[{"name":"Digestive Disease Center Bispebjerg Hospital University of Copenhagen Copenhagen NV Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T. 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