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 . 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
Published: Jun 14, 2017
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