Abstract
BackgroundParastomal hernia and stoma-site hernia are common stoma complications. Parastomal hernia repair is associated with high complication and recurrence rates. Insurance data can provide novel information on the consequences of perioperative complications from the patient’s point of view. The aim was to investigate what types of complications associated with stoma-related hernia surgery that cause patients to apply for economic compensation through the patient insurance system and to investigate demographic and clinical differences among cases based on gender and type of center at which the surgery was performed.MethodsA national patient damage claim database was searched for ICD-10 codes related to parastomal and stoma-site hernia surgery over a seven-year period. Medical records were screened for claims associated with parastomal hernia repair, relocation or reversal due to parastomal hernia, or stoma-site hernia repair. Claims were classified according to one of four primary complaints: surgical, anesthetic, medical or other. Clinical and demographic differences between genders and hospital types were investigated. Reasons for non-compensation were analyzed.ResultsThirty claims met the inclusion criteria. Eighteen were related to parastomal hernia repair, seven to stoma-site hernia repair, three to stoma reversal and two to relocation due to parastomal hernia. Twenty-five claims were primarily surgical, two related to anesthesia and three classified as other. Seven claims were granted compensation. No demographic or clinical differences were found apart from female gender being associated with previous parastomal hernia repair [6 women and 0 men (p = 0.02)].ConclusionSurgical complaints predominated. Few claims were compensated, reflecting the complexity and unsatisfactory outcomes of these procedures. Many claims were identified in relation to the incidence of stoma-related hernia surgery.Trial registrationDue to its retrospective and descriptive nature, the study was not registered in any registry.
Highlights
Parastomal hernia (PSH) can be defined as a hernia associated with a stoma [1]
The primary aim of this study was to explore what types of complications that cause patients to apply for economic compensation through the patient insurance system following stoma-related hernia surgery, to obtain a new patient-centered perspective on stoma-related hernia surgery morbidity
Eighteen claims were related to PSH repair, seven to stoma-site hernia (SSH) repair, three to reversal, and two were related to relocation of stoma due to PSH
Summary
Parastomal hernia (PSH) can be defined as a hernia associated with a stoma [1]. Symptoms of PSH include cosmetic disfiguration and impaired body image, stoma dressing problems leading to leakage and skin irritation, prolapse and life-threatening intestinal incarceration [5]. Parastomal hernia and stoma-site hernia are common stoma complications. Parastomal hernia repair is associated with high complication and recurrence rates. The aim was to investigate what types of complications associated with stoma-related hernia surgery that cause patients to apply for economic compensation through the patient insurance system and to investigate demographic and clinical differences among cases based on gender and type of center at which the surgery was performed
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