Prevention of parastomal hernia in the emergency setting

Prevention of parastomal hernia in the emergency setting Aim This study assessed safety and efficacy associated with gency ostomy formation showed no significant preventive hernia prophylaxis using a retromuscular slowly resorbable effect on formation of parastomal hernia after 1 year. synthetic mesh for stoma reinforcement. Although surgery was often conducted in a severely contam- Method This was a cohort study with a historic reference inated field, the procedure was without significantly increased group. The study took place in a high-volume surgical depart- complication rate. ment. During a 2-year period (July 2012–July 2014), we in- . . . cluded 109 patients undergoing emergency surgery with for- Keywords Ostomy Parastomal hernia Mesh mation of ileostomy or colostomy. All patients received a Complications Emergency surgery retromuscular slowly resorbable synthetic mesh (TIGR®, Novus Scientific) at the stoma site. The reference group in- cluded 117 patients who underwent emergency stoma forma- Introduction tion without a prophylactic mesh in the 2-year period prior to July 2012. The primary endpoint was effect on prevention of Parastomal hernia is defined as an incisional hernia in relation parastomal hernia within 1 year. Secondary endpoints were to a stoma [1]. Formation of an intestinal stoma is associated 30-day and 1-year complications including mortality. with subsequent development of Langenbeck's Archives of Surgery Springer Journals

Prevention of parastomal hernia in the emergency setting

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Springer Berlin Heidelberg
Copyright © 2017 by Springer-Verlag Berlin Heidelberg
Medicine & Public Health; General Surgery; Abdominal Surgery; Cardiac Surgery; Thoracic Surgery; Traumatic Surgery; Vascular Surgery
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