Prevention of parastomal hernia in the emergency setting

Lykke, Anna; Andersen, Johnny F. B.; Jørgensen, Lars N.; Mynster, Tommie

doi:10.1007/s00423-017-1596-3

Cited by 7 publications

(3 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…48 One study has looked at the efficacy of prophylactic mesh use in the emergency setting and did not identify a significant preventative effect on parastomal hernia formation after 1 year. 49 There remains limited data on the long-term cost effectiveness of prophylactic mesh use.…”

Section: Parastomal Herniamentioning

confidence: 99%

Ostomy-Related Complications

Murken

Bleier

2019

Clinics in Colon and Rectal Surgery

113

108

View full text Add to dashboard Cite

Ileostomy or colostomy formation is an important component of many surgical procedures performed for a wide range of disorders of the gastrointestinal tract. Despite the frequency with which intestinal stomas are created, stoma-related complications remain common and are associated with significant morbidity as well as cost. Some of the most prevalent complications of stoma formation which will be detailed in this article include peristomal skin complications, retraction, stomal necrosis, stomal stenosis, prolapse, bleeding, dehydration from high ostomy output, and parastomal hernia. The authors will review these common complications, detail means to avoid or prevent them, and outline recommendations for management.

show abstract

Section: Parastomal Herniamentioning

confidence: 99%

Ostomy-Related Complications

Murken

Bleier

2019

Clinics in Colon and Rectal Surgery

113

108

View full text Add to dashboard Cite

show abstract

“…There was no correlation between infection-related events and hernia recurrence [43]. In other areas such as emergency stoma creation Lykke et al found that the insertion of absorbable mesh, even in the presence of contamination, was not associated with increased complications [44]. It appears that permanent synthetic or biosynthetic mesh can now be used in clean-contaminated and contaminated fields.…”

Section: What About In Contamination?mentioning

confidence: 99%

The role of prophylactic mesh placement to prevent incisional hernia in laparotomy. Is it time to change practice?

Sugrue

Johnston

Zeeshan

et al. 2019

ait

View full text Add to dashboard Cite

“…Several randomized control trials (RCTs) and meta-analyses have shown positive results for synthetic meshes utilized as prophylaxis with various techniques and meshes [5, 6, 12–19]. Trials have demonstrated a lower incidence of PSHs without a higher risk of complications.…”

Section: Introductionmentioning

confidence: 99%

Chimney Trial: study protocol for a randomized controlled trial

Mäkäräinen

Wiik

Kössi

et al. 2019

Trials

View full text Add to dashboard Cite

BackgroundParastomal hernias (PSHs) are common, troubling the lives of people with permanent colostomy. In previous studies, retromuscular keyhole mesh placement has been the most-used technique for PSH prevention but results have been controversial. Additionally, surgical treatment of PSHs is associated with a high rate of complications and recurrences. Therefore, it is crucial to find the most effective way to prevent PSHs in the first place without an increased risk of complications. Due to a lack of adequate research, there is no clear evidence or recommendations on which mesh or technique is best to prevent PSHs.Methods/designThe Chimney Trial is a Nordic, prospective, randomized controlled, multicenter trial designed to compare the feasibility and the potential benefits of specifically designed, intra-abdominal onlay mesh (DynaMesh®-Parastomal, FEG Textiltechnik GmbH, Aachen, Germany) against controls with permanent colostomy without mesh.The primary outcome of the Chimney Trial is the incidence of a PSH detected by a computerized tomography (CT) scan at 12-month follow-up. Secondary outcomes are the rate of clinically detected PSHs, surgical-site infection as defined by the Centers for Disease Control and Prevention (CDC), complications as defined by the Clavien-Dindo classification, the reoperation rate, operative time, length of stay, quality of life as measured by the RAND-36 survey and colostomy impact score, and both direct and indirect costs. For each group, 102 patients were enrolled at attending hospitals and randomized at a ratio of 1:1 by browser-based software to receive a preventive mesh or a conventional colostomy without a mesh. Patients will be followed for 1 month and at 1, 3, and 5 years after the operation for long-term results and complications.DiscussionThe Chimney Trial aims to provide level-I evidence on PSH prevention.Trial registrationClinicalTrials.gov, ID: NCT03799939. Registered on 10 January 2019

show abstract

Prevention of parastomal hernia in the emergency setting

Cited by 7 publications

References 37 publications

Ostomy-Related Complications

Ostomy-Related Complications

The role of prophylactic mesh placement to prevent incisional hernia in laparotomy. Is it time to change practice?

Chimney Trial: study protocol for a randomized controlled trial

Contact Info

Product

Resources

About