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Title of Journal: Int J Colorectal Dis

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Abbravation: International Journal of Colorectal Disease

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Springer Berlin Heidelberg

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DOI

10.1007/bf00316044

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1432-1262

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Prophylactic stoma mesh did not prevent parastomal

Authors: Maziar Nikberg Ingvar Sverrisson Konstantinos Tsimogiannis Abbas Chabok Kenneth Smedh
Publish Date: 2015/06/23
Volume: 30, Issue: 9, Pages: 1217-1222
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Abstract

Parastomal herniation is reported in up to 50  of patients with a colostomy A prophylactic stoma mesh has been reported to reduce parastomal hernia rates The aim of the study was to evaluate the rate of parastomal hernias in a populationbased cohort of patients operated with and without a prophylactic mesh at two different time periodsAll rectal cancer patients operated with an abdominoperineal excision or Hartmann’s procedure between 1996 and 2012 were included From 2007 a prophylactic stoma mesh was placed in the retromuscular plane Patients were followed prospectively with clinical and computed tomography examinationsThere were no differences with regard to age gender preoperative albumin levels ASA score body mass index BMI smoking or type of surgical resection between patients with n = 71 and without a stoma mesh n = 135 After a minimum followup of 1 year 187 91  of the patients were alive and available for analysis At clinical and computed tomography examinations exactly the same parastomal hernia rates were found in the two groups viz 25 and 53  respectively p = 095 and p = 018 The hernia sac contained omentum or intestinal loops in 26 81  versus 26 60  patients with and without a mesh respectively p = 0155 In the multivariate analyses high BMI was associated with parastomal hernia formation

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