Randomized clinical trial of the use of a prosthetic mesh to prevent parastomal hernia
A Jänes, Y Cengiz, LA Israelsson - Journal of British Surgery, 2004 - academic.oup.com
A Jänes, Y Cengiz, LA Israelsson
Journal of British Surgery, 2004•academic.oup.comBackground Parastomal hernia is a common complication following colostomy, and repair
with a prosthetic mesh is associated with the lowest recurrence rate. The aim of this study
was to determine the effect on stoma complications of using a mesh at the primary operation.
Methods Patients undergoing permanent colostomy were randomized to have either a
conventional stoma or the addition of a mesh placed in a sublay position. A large-pore
lightweight mesh with a reduced polypropylene content and a high proportion of absorbable …
with a prosthetic mesh is associated with the lowest recurrence rate. The aim of this study
was to determine the effect on stoma complications of using a mesh at the primary operation.
Methods Patients undergoing permanent colostomy were randomized to have either a
conventional stoma or the addition of a mesh placed in a sublay position. A large-pore
lightweight mesh with a reduced polypropylene content and a high proportion of absorbable …
Background
Parastomal hernia is a common complication following colostomy, and repair with a prosthetic mesh is associated with the lowest recurrence rate. The aim of this study was to determine the effect on stoma complications of using a mesh at the primary operation.
Methods
Patients undergoing permanent colostomy were randomized to have either a conventional stoma or the addition of a mesh placed in a sublay position. A large-pore lightweight mesh with a reduced polypropylene content and a high proportion of absorbable material was used.
Results
Twenty-seven patients were randomized to have a conventional stoma and 27 to have the mesh. No infection, fistula formation or pain occurred (observation time 2–28 months). At the 12-month follow-up, parastomal hernia was present in eight of 18 patients without a mesh and in none of 16 patients in whom the mesh was used.
Conclusion
A lightweight prosthetic mesh in a sublay position at the stoma site was not associated with infection or other early complications. Preliminary results indicate that the mesh prevented the development of parastomal hernia.
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