Objective To summarize epidemiological characteristics, risk factors, treatment and preventive strategies for stoma site incisional hernia (SSIH) following prophylactic stoma reversal in patients with colorectal cancer, and to provide evidence for individualized precautionary measures in clinical practice. Method Relevant studies on SSIH were systematically reviewed. Results The incidence of SSIH is higher than that of conventional incisional hernia. Its occurrence is associated with multiple factors, including advanced age, obesity, chronic underlying diseases, stoma diameter and duration, parastomal hernia, intraoperative techniques, surgical site infection, and increased intra-abdominal pressure. Individualized preventive strategies including optimize patients’ general condition before operation, appropriate selection of stoma size and timing of stoma closure, optimization of fascial closure techniques and tension distribution during operation, and postoperative management focusing on infection control, nutritional support, and reduction of intra-abdominal pressure. In high-risk patients, prophylactic mesh reinforcement at the time of stoma closure can reduce the incidence of SSIH. Conclusions The development of SSIH is influenced by multiple factors. Perioperative risk assessment and multidisciplinary preventive interventions are essential. Further high-quality studies are warranted to optimize preventive strategies.
Citation：
HU Bin, WANG Siyi, QI Yabin. Risk factors and preventive strategies for stoma site incisional hernia following prophylactic stoma reversal in colorectal cancer: a review. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2026, 33(7): 1002-1008. doi: 10.7507/1007-9424.202604063
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Copyright ? the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
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Obi M, Beffa L, Melland-Smith M, et al. The rate of ileostomy site incisional hernias: more common than we think? Hernia, 2024, 28(6): 2311-2320.
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Oma E, Baastrup NN, Jensen KK. Should simultaneous stoma closure and incisional hernia repair be avoided? Hernia, 2021, 25(3): 649-654.
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《復雜腹壁疝微共識: 腹壁疝合并皮膚軟組織或補片感染》編審委員會, 《中華疝和腹壁外科雜志 (電子版) 》編輯委員會, 全國衛生產業企業管理協會疝和腹壁外科產業及臨床研究分會復雜腹壁疝及減重專家組. 復雜腹壁疝微共識: 腹壁疝合并皮膚軟組織或補片感染. 中華疝和腹壁外科雜志 (電子版) , 2024, 18(3): 251-255.
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- 48. 《復雜腹壁疝微共識: 腹壁疝合并皮膚軟組織或補片感染》編審委員會, 《中華疝和腹壁外科雜志 (電子版) 》編輯委員會, 全國衛生產業企業管理協會疝和腹壁外科產業及臨床研究分會復雜腹壁疝及減重專家組. 復雜腹壁疝微共識: 腹壁疝合并皮膚軟組織或補片感染. 中華疝和腹壁外科雜志 (電子版) , 2024, 18(3): 251-255.
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