Prevention of Parastomal Hernia with a Preperitoneal Polypropelene Mesh

“…In the studies included here, mesh was placed as a sublay or in the intraperitoneal plane. The sublay technique is considered feasible and can lower the incidence of parastomal hernia 123 [10]. The intraperitoneal technique includes the modified Sugarbaker method, the keyhole technique, and the sandwich technique.…”

Section: Discussionmentioning

confidence: 99%

“…Because of the unsatisfactory results of existing treatments, it has been proposed that the best solution is to prevent parastomal hernia at the time of stoma formation. Some studies have found that prophylactic placement of mesh was associated with a significant reduction the occurrence of parastomal hernia without increasing morbidity [10], but this association was not found in other studies [11]. For this reason, a systematic review and meta‐analysis of randomized controlled trials was performed to determine the efficacy and safety of prophylactic mesh in patients with rectal cancer after end‐colostomy.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Prophylactic Mesh in End‐Colostomy Construction: A Systematic Review and Meta‐analysis of Randomized Controlled Trials

Wang

Zhu

et al. 2016

World j. surg.

View full text Add to dashboard Cite

BackgroundParastomal hernia is a very common complication after colostomy, especially end-colostomy. It is unclear whether prophylactic placement of mesh at the time of stoma formation could prevent parastomal hernia formation after surgery for rectal cancer. A systematic review and meta-analysis were conducted to evaluate the efficacy of prophylactic mesh in end-colostomy construction.MethodsPubMed, Embase, and the Cochrane Library were searched, covering records entered from their inception to September 2015. Randomized controlled trials (RCTs) comparing stoma with mesh to stoma without mesh after surgery for rectal cancer were included. The primary outcome was the incidence of parastomal hernia. Pooled risk ratios (RR) with 95 % confidence intervals (CI) were obtained using random effects models.ResultsSix RCTs containing 309 patients were included. Parastomal hernia occurred in 24.4 % (38 of 156) of patients with mesh and 50.3 % (77 of 153) of patients without mesh. Meta-analysis showed a lower incidence of parastomal hernia (RR, 0.42; 95 % CI 0.22–0.82) and reoperation related to parastomal hernia (RR, 0.23; 95 % CI 0.06–0.89) in patients with mesh. Stoma-related morbidity was similar between mesh group and non-mesh group (RR, 0.65; 95 % CI 0.33–1.30).ConclusionsProphylactic placement of a mesh at the time of a stoma formation seems to be associated with a significant reduction in the incidence of parastomal hernia and reoperation related to parastomal hernia after surgery for rectal cancer, but not the rate of stoma-related morbidity. However, the results should be interpreted with caution because of the heterogeneity among the studies.

show abstract

Parastomal Hernia Prevention With Mesh in the Context of Laparoscopic Approach: An Opinion Based on Current Literature

López-Cano

Rodríguez

2018

Front. Surg.

View full text Add to dashboard Cite

Prevention of Parastomal Hernia with a Preperitoneal Polypropelene Mesh

Cited by 3 publications

References 16 publications

Meta-analysis of prophylactic mesh to prevent parastomal hernia

Meta-analysis of prophylactic mesh to prevent parastomal hernia

Efficacy of Prophylactic Mesh in End‐Colostomy Construction: A Systematic Review and Meta‐analysis of Randomized Controlled Trials

Parastomal Hernia Prevention With Mesh in the Context of Laparoscopic Approach: An Opinion Based on Current Literature

Contact Info

Product

Resources

About