This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS
Randomized clinical trial of the use of a prosthetic mesh to prevent parastomal hernia. BJS 2004; 91: 280-282.
Published: 2nd February 2004
Authors: A. Jänes, Y. Cengiz, L. A. Israelsson
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.
Method
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. Copyright © 2004 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
Full text