Meta‐analysis of prophylactic mesh to prevent parastomal hernia. BJS 2017; 104: 179-186.
Published: 22nd December 2016
Authors: A. J. Cross, P. L. Buchwald, F. A. Frizelle, T. W. Eglinton
Rates of parastomal hernia following stoma formation remain high. Previous systematic reviews suggested that prophylactic mesh reduces the rate of parastomal hernia; however, a larger trial has recently called this into question. The aim was to determine whether mesh placed at the time of primary stoma creation prevents parastomal hernia.
The Cochrane Central Register of Controlled Trials,
Ten randomized trials were identified among 150 studies screened. In total 649 patients were included in the analysis (324 received mesh). Overall the rates of parastomal hernia were 53 of 324 (16·4 per cent) in the mesh group and 119 of 325 (36·6 per cent) in the non‐mesh group (odds ratio 0·24, 95 per cent c.i. 0·12 to 0·50;
Mesh placed prophylactically at the time of stoma creation reduced the rate of parastomal hernia, without an increase in mesh‐related complications.Full text
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