Use of Prophylactic Mesh When Creating a Colostomy Does Not Prevent Parastomal Hernia: A Randomized Controlled Trial-STOMAMESH.

Abstract:

OBJECTIVE:The aim of this study was to determine whether parastomal hernia (PSH) rate can be reduced by using synthetic mesh in the sublay position when constructing permanent end colostomy. The secondary aim was to investigate possible side-effects of the mesh. BACKGROUND:Prevention of PSH is important as it often causes discomfort and leakage from stoma dressing. Different methods of prevention have been tried, including several mesh techniques. The incidence of PSH is high; up to 78%. METHODS:Randomized controlled double-blinded multicenter trial. Patients undergoing open colorectal surgery, including creation of a permanent end colostomy, were randomized into 2 groups, with and without mesh. A lightweight polypropylene mesh was placed around the colostomy in the sublay position. Follow up after 1 month and 1 year. Computerized tomography and clinical examination were used to detect PSH at the 1-year follow up. Data were analyzed on an intention-to-treat basis. RESULTS:After 1 year, 211 of 232 patients underwent clinical examination and 198 radiologic assessments. Operation time was 36 minutes longer in the mesh arm. No difference in rate of PSH was revealed in the analyses of clinical (P = 0.866) and radiologic (P = 0.748) data. There was no significant difference in perioperative complications. CONCLUSIONS:The use of reinforcing mesh does not alter the rate of PSH. No difference in complication rate was seen between the 2 arms. Based on these results, the prophylactic use of mesh to prevent PSH cannot be recommended.

journal_name

Ann Surg

journal_title

Annals of surgery

authors

Odensten C,Strigård K,Rutegård J,Dahlberg M,Ståhle U,Gunnarsson U,Näsvall P

doi

10.1097/SLA.0000000000002542

subject

Has Abstract

pub_date

2019-03-01 00:00:00

pages

427-431

issue

3

eissn

0003-4932

issn

1528-1140

journal_volume

269

pub_type

杂志文章,多中心研究,随机对照试验
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    authors: Krajewski LP,Hertzer NR

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    更新日期:1983-03-01 00:00:00

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    更新日期:2014-10-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1097/00000658-198801000-00010

    authors: Schraut WH,Chapman C,Abraham VS

    更新日期:1988-01-01 00:00:00

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    更新日期:1987-12-01 00:00:00

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    更新日期:1979-08-01 00:00:00

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    更新日期:1988-09-01 00:00:00

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    pub_type: 杂志文章,多中心研究

    doi:10.1097/SLA.0000000000002017

    authors: Brouquet A,Maggiori L,Zerbib P,Lefevre JH,Denost Q,Germain A,Cotte E,Beyer-Berjot L,Munoz-Bongrand N,Desfourneaux V,Rahili A,Duffas JP,Pautrat K,Denet C,Bridoux V,Meurette G,Faucheron JL,Loriau J,Guillon F,Vicaut E

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    更新日期:1981-08-01 00:00:00

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    authors: Warren WD,Millikan WJ Jr,Smith RB 3rd,Rypins EB,Henderson JM,Salam AA,Hersh T,Galambos JT,Faraj BA

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    journal_title:Annals of surgery

    pub_type: 杂志文章

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    pub_type: 杂志文章

    doi:10.1097/00000658-198806000-00011

    authors: Suggs WD,Henriques HF,DePalma RG

    更新日期:1988-06-01 00:00:00

  • Transvaginal natural orifice translumenal endoscopic surgery cholecystectomy: early evolution of the technique.

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    journal_title:Annals of surgery

    pub_type: 临床试验,杂志文章

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  • Gastrocolic fistulae in benign peptic ulcer disease.

    abstract::Occurence of gastroenteric fistulae in non-surgically treated peptic ulcer disease is rare as suggested by only 26 cases published in the literature so far. We had the opportunity to care for 3 patients with this problem in a period of one year. At our institution, a search of the medical records dating back to 1955 y...

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    更新日期:1976-08-01 00:00:00

  • The Australian and New Zealand Audit of Surgical Mortality-birth, deaths, and carriage.

    abstract:OBJECTIVE:This article outlines the formation of the Australian and New Zealand Audit of Surgical Mortality (ANZASM) and describes its objectives, governance, functioning and challenges. BACKGROUND:A nationwide audit of surgical mortality provides an overview of the leading causes of death in patients who require surg...

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    pub_type: 杂志文章

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    authors: Raju RS,Guy GS,Majid AJ,Babidge W,Maddern GJ

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    pub_type: 杂志文章

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    authors: McAleese P,Odling-Smee W

    更新日期:1994-12-01 00:00:00

  • Changes in lung ultrastructure following heterologous and homologous serum albumin infusion in the treatment of hemorrhagic shock.

    abstract::The object of this study was to compare the ultrastructure pulmonary effects of the infusion of homologous and heterologous serum albumin solution in the treatment of hemorrhagic shock in baboons. Adult baboons subjected to hemorrhagic shock were resuscitated with either baboon serum albumin, human serum albumin, or R...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197902000-00016

    authors: Moss GS,Das Gupta TK,Brinkman R,Sehgal L,Newsom B

    更新日期:1979-02-01 00:00:00

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197412000-00013

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    更新日期:1974-12-01 00:00:00

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    journal_title:Annals of surgery

    pub_type: 杂志文章

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    更新日期:2010-07-01 00:00:00

  • Intratumoral Genetic Heterogeneity in Rectal Cancer: Are Single Biopsies representative of the entirety of the tumor?

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000001937

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  • Video-based peer feedback through social networking for robotic surgery simulation: a multicenter randomized controlled trial.

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    journal_title:Annals of surgery

    pub_type: 杂志文章,多中心研究,随机对照试验

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e3181b59491

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    pub_type: 杂志文章

    doi:

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    doi:10.1097/00000658-197808000-00005

    authors: Oblath RW,Buckley FO Jr,Donnelly WA,Green RM,Deweese JA

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