Parastomal hernia: is prevention better than cure? Use of preperitoneal polypropylene mesh at the time of stoma formation

Vijayasekar, C.; Marimuthu, Kalimuthu; Jadhav, Vijay; Mathew, George

doi:10.1007/s10151-008-0441-7

Cited by 55 publications

(39 citation statements)

References 19 publications

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“…Studies have varied as to whether the prophylactic mesh was placed in an onlay, retromuscular, or intraperitoneal position. There does not appear to be any strong evidence to support any one method over another at this time (table 4) [94,96,98,99,100,101,102,103,104,105]. A recent cost-effectiveness analysis also demonstrated cost savings and improvement in effectiveness for patients with Stage I to III rectal cancer undergoing APR with prophylactic mesh placement [106].…”

Section: Prevention With Prophylactic Meshmentioning

confidence: 99%

Parastomal Hernia: A Growing Problem with New Solutions

et al. 2014

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Parastomal hernia is one of the most common complications following stoma creation and its prevalence is only expected to increase. It often leads to a decrease in the quality of life for patients due to discomfort, pain, frequent ostomy appliance leakage, or peristomal skin irritation and can result in significantly increased healthcare costs. Surgical technique for parastomal hernia repair has evolved significantly over the past two decades with the introduction of new types of mesh and laparoscopic procedures. The use of prophylactic mesh in high-risk patients at the time of stoma creation has gained attention in lieu of several promising studies that have emerged in the recent days. This review will attempt to demonstrate the burden that parastomal hernias present to patients, surgeons, and the healthcare system and also provide an overview of the current management and surgical techniques at both preventing and treating parastomal hernias. i 2014 S. Karger AG, Basel

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Section: Prevention With Prophylactic Meshmentioning

confidence: 99%

Parastomal Hernia: A Growing Problem with New Solutions

et al. 2014

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“…There were no infectious complications, mesh removals, or erosions. 33 It was 10 years until the next prospective trials using prophylactic placement of mesh in an onlay, 34 sublay, 35 and intraperitoneal 36 position. In long-term follow-up, parastomal hernia rates were reported of 8.3%, 9.5%, and 0%, respectively.…”

Section: Prosthetic Parastomal Hernia Prophylaxismentioning

confidence: 99%

Safety of Prosthetic Mesh Hernia Repair in Contaminated Fields

Carbonell¹,

Cobb²

2013

Surgical Clinics of North America

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“…Polypropylennetze und leichte, großmaschige Netze ("low weight large pore") können auch in einem kontaminierten Situs ohne größere Komplikationen verwendet werden [6,23,24].…”

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Parastomal hernia treatment with prosthetic mesh repair

Israelsson

2010

Chirurg

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After stoma formation, parastomal hernia develops in 30-50% of patients, with one-third of these require operative correction. Recurrence rates are very high after suture repair of parastomal hernias or relocation of the stoma. Open or laparoscopic mesh repairs have resulted in much lower recurrence rates. Long-term follow-up of the various techniques for parastomal hernia repair is lacking, as are randomized trials. A prophylactic prosthetic mesh placed in a sublay position at the index operation has reduced the rate of parastomal hernia in randomized trials. A prophylactic mesh in an onlay position, a sublay position, and an intraperitoneal onlay position has also been associated with low herniation rates in non-randomized studies. Although several questions within this field still have to be answered, it seems obvious that use of a mesh represents a suitable measure for the prevention of parastomal hernia as well as parastomal hernia repair.

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Parastomal hernia: is prevention better than cure? Use of preperitoneal polypropylene mesh at the time of stoma formation

Cited by 55 publications

References 19 publications

Parastomal Hernia: A Growing Problem with New Solutions

Parastomal Hernia: A Growing Problem with New Solutions

Safety of Prosthetic Mesh Hernia Repair in Contaminated Fields

Parastomal hernia treatment with prosthetic mesh repair

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