University of Oulu

Mäkäräinen, E., Rautio, T., Rintala, J., Muysoms, F., & Kauppila, J. H. (2022). Incidence of parastomal and incisional hernia following emergency surgery for Hinchey III-IV diverticulitis: A systematic review. Scandinavian Journal of Surgery, 111(2), 145749692211072.

Incidence of parastomal and incisional hernia following emergency surgery for Hinchey III-IV diverticulitis : a systematic review

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Author: Mäkäräinen, Elisa1; Rautio, Tero2; Rintala, Jukka2;
Organizations: 1Department of Surgery Medical Research Center University of Oulu Oulu University Hospital (OYS) PL29 90029 Oulu Finland
2Department of Surgery, Medical Research Center, University of Oulu, Oulu University Hospital, Oulu, Finland
3Hospital AZ Maria Middelares, Ghent, Belgium
4Upper Gastrointestinal Surgery, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 0.1 MB)
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Language: English
Published: SAGE Publications, 2022
Publish Date: 2022-12-29


Purpose: The aim of this systematic review was to evaluate the risk of parastomal (PSH) and incisional hernias (IH) after emergency surgery for Hinchey III–IV diverticulitis, with comparison between the Hartmann procedure and other surgical techniques.

Methods: The Cochrane Library, Embase, PubMed (MEDLINE), Web of Science and Scopus databases were systematically searched. The primary endpoint was parastomal hernia incidence. The secondary endpoint was incisional hernia incidence.

Results: Five studies (four randomized controlled trials and one retrospective cohort) with a total of 699 patients were eligible for inclusion. The PSH rate was 15%–46% for Hartmann procedure, 0%–85% for primary anastomosis, 4% for resection, and 2% for laparoscopic lavage. The IH rates were 5%–38% for Hartmann procedure, 5%–27% for primary anastomosis, 9%–12% for primary resection, and 3%–11% for laparoscopic lavage.

Conclusions: Both the parastomal and incisional hernia incidences are poorly evaluated and reported, and varied greatly between the studies.

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Series: Scandinavian journal of surgery
ISSN: 1457-4969
ISSN-E: 1799-7267
ISSN-L: 1457-4969
Volume: 111
Issue: 2
Pages: 1 - 3
DOI: 10.1177/14574969221107276
Type of Publication: A1 Journal article – refereed
Field of Science: 3126 Surgery, anesthesiology, intensive care, radiology
Copyright information: © The Finnish Surgical Society 2022. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (