Experiences with a prophylactic mesh in 93 consecutive ostomies
2010 (English)In: World Journal of Surgery, ISSN 0364-2313, E-ISSN 1432-2323, Vol. 34, no 7, 1637-1640 p.Article in journal (Refereed) Published
BACKGROUND: Parastomal hernia may be present in half of patients after one year. A prophylactic low-weight prosthetic mesh in a sublay position at the index operation reduces the risk of parastomal hernia, without increasing the rate of complications. MATERIAL: Between April 2003 and November 2006 all patients with an ostomy created at an open laparotomy were followed for at least one year. RESULTS: A prophylactic mesh was used in 75 of 93 patients. In 9 a prophylactic mesh could not be placed due to scarring after previous surgery. In 9 a mesh was omitted after surgeon's decision. In 19 patients a mesh was used in severely contaminated wounds. With a mesh 6 of 73 (8%) patients developed a surgical site infection and without a mesh 4 of 15 (27%). With a mesh parastomal hernia was present in 8 of 61 (13%) patients and without a mesh in 8 of 12 (67%). CONCLUSIONS: Creating a stoma in routine open surgery a prophylactic mesh can be placed in most patients. A mesh does not increase the rate of complications and can be used in severely contaminated wounds.
Place, publisher, year, edition, pages
2010. Vol. 34, no 7, 1637-1640 p.
Research subject Surgery
IdentifiersURN: urn:nbn:se:umu:diva-35756DOI: 10.1007/s00268-010-0492-6ISI: 000279103400034PubMedID: 20182719OAI: oai:DiVA.org:umu-35756DiVA: diva2:346968