Preventing parastomal hernia with a prosthetic mesh
2004 (English)In: Archives of surgery (Chicago. 1960), ISSN 0004-0010, Vol. 139, no 12, 1356-1358 p.Article in journal (Refereed) Published
HYPOTHESIS: Parastomal hernia is a common complication following colostomy. The lowest recurrence rate has been produced when repair is with a prosthetic mesh. This study evaluated the effect on stoma complications of using a mesh during the primary operation. DESIGN: Randomized clinical study. METHODS: Patients undergoing permanent colostomy were randomized to have either a conventional stoma or the addition of a mesh placed in a sublay position. The mesh used was a large-pore lightweight mesh with a reduced polypropylene content and a high proportion of absorbable material. RESULTS: Twenty-seven patients had a conventional stoma, and in 27 patients the mesh was used. No infection, fistula formation, or pain occurred (observation time, 12-38 months). At the 12-month follow-up, parastomal hernia was present in 13 of 26 patients without a mesh and in 1 of 21 patients in whom the mesh was used. CONCLUSIONS: A lightweight mesh with a reduced polypropylene content and a high proportion of absorbable material placed in a sublay position at the stoma site is not associated with complications and significantly reduces the rate of parastomal hernia.
Place, publisher, year, edition, pages
2004. Vol. 139, no 12, 1356-1358 p.
Research subject Surgery
IdentifiersURN: urn:nbn:se:umu:diva-22715DOI: 10.1001/archsurg.139.12.1356PubMedID: 15613293OAI: oai:DiVA.org:umu-22715DiVA: diva2:217686