Systematic Review of the Use of a Mesh to Prevent Parastomal Hernia
Background Parastomal hernia is a major complication after stoma placement. Surgical procedures for repairing parastomal hernia are difficult and their failure rate is high. The use of a mesh implanted at the primary operation has shown promising results. Therefore, we performed a systematic review...
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| Veröffentlicht in: | World journal of surgery 2010-11, Vol.34 (11), p.2723-2729 |
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| creator | Tam, Ka-Wai Wei, Po-Li Kuo, Li-Jen Wu, Chih-Hsiung |
| description | Background
Parastomal hernia is a major complication after stoma placement. Surgical procedures for repairing parastomal hernia are difficult and their failure rate is high. The use of a mesh implanted at the primary operation has shown promising results. Therefore, we performed a systematic review of the literature to evaluate the results of the placement of mesh at the time of stoma formation with the aim of preventing parastomal hernia.
Methods
The Medline, Embase, and Cochrane Library databases were searched using the keywords “parastomal or paracolostomy hernia.” Data regarding the incidence of hernia, the operative parameters, including mesh placement and types, and complications, including infection, stoma necrosis, and stenosis, were used and analyzed to evaluate the use of prophylactic mesh at the time of stoma formation.
Results
Three randomized controlled trials, three prospective observational series, and one retrospective study were selected and summarized. During the follow-up period (observation time of 1–83 months), parastomal hernia was present in 32/58 patients (55%) who did not have mesh placement and in 14/179 patients (7.82%) in whom mesh was used. Meta-analysis of three randomized controlled trials showed that prophylactic use of the mesh significantly diminished the incidence of parastomal hernia (
p
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| doi_str_mv | 10.1007/s00268-010-0739-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_756667927</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>756667927</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4506-ccf0ee9f5a0674c5af642d023295c17c1f5b8fdcbc41a7a71c755c02a2c56a783</originalsourceid><addsrcrecordid>eNqFkF1LHDEUhoNU6mr7A3pTQqF4NfYkk4-dy3bxE6VSK16Gs9mTOjIfmswq--_NMlsFofQq5-J5Tt7zMvZJwIEAsN8SgDTTAgQUYMuqkFtsIlQpC1nK8h2bQGlUnkW5w3ZTugMQ1oB5z3YkGCO0kRM2u1qlgVocas9_0WNNT7wPfLglfp1oPSK_oHTLh55fRnqkbuCXGDENfYsNP6HY1fiBbQdsEn3cvHvs-ujw9-ykOP95fDr7fl54pcEU3gcgqoJGMFZ5jcEouYCctdJeWC-Cnk_Dws-9EmjRCm-19iBRem3QTss9tj_uvY_9w5LS4No6eWoa7KhfJme1McZW0mbyyxvyrl_GLofLkBUCKq0yJEbIxz6lSMHdx7rFuHIC3LpfN_brcr9u3a-T2fm8Wbyct7R4Mf4WmoGvGwCTxyZE7HydXrlSKWvsOmE1ck91Q6v__-xuzq5-HIEWxmRXjm7KWveH4ut1_07-DJ_JoRQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>757110954</pqid></control><display><type>article</type><title>Systematic Review of the Use of a Mesh to Prevent Parastomal Hernia</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Tam, Ka-Wai ; Wei, Po-Li ; Kuo, Li-Jen ; Wu, Chih-Hsiung</creator><creatorcontrib>Tam, Ka-Wai ; Wei, Po-Li ; Kuo, Li-Jen ; Wu, Chih-Hsiung</creatorcontrib><description>Background
Parastomal hernia is a major complication after stoma placement. Surgical procedures for repairing parastomal hernia are difficult and their failure rate is high. The use of a mesh implanted at the primary operation has shown promising results. Therefore, we performed a systematic review of the literature to evaluate the results of the placement of mesh at the time of stoma formation with the aim of preventing parastomal hernia.
Methods
The Medline, Embase, and Cochrane Library databases were searched using the keywords “parastomal or paracolostomy hernia.” Data regarding the incidence of hernia, the operative parameters, including mesh placement and types, and complications, including infection, stoma necrosis, and stenosis, were used and analyzed to evaluate the use of prophylactic mesh at the time of stoma formation.
Results
Three randomized controlled trials, three prospective observational series, and one retrospective study were selected and summarized. During the follow-up period (observation time of 1–83 months), parastomal hernia was present in 32/58 patients (55%) who did not have mesh placement and in 14/179 patients (7.82%) in whom mesh was used. Meta-analysis of three randomized controlled trials showed that prophylactic use of the mesh significantly diminished the incidence of parastomal hernia (
p
< 0.0001). Postoperative morbidity levels were similar whether the mesh was placed or not.
Conclusion
Prophylactic use of mesh at the time of stoma formation is a safe procedure and reduces the risk of parastomal hernia. For more detailed evaluation, additional large, double-blinded, randomized controlled trials with long-term follow-up are necessary.</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-010-0739-2</identifier><identifier>PMID: 20661562</identifier><identifier>CODEN: WJSUDI</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Abdominal Surgery ; Biological and medical sciences ; Cardiac Surgery ; General aspects ; General Surgery ; Hernia, Ventral - etiology ; Hernia, Ventral - prevention & control ; Humans ; Lightweight Mesh ; Medical sciences ; Medicine ; Medicine & Public Health ; Mesh Group ; Mesh Placement ; Miscellaneous ; Parastomal Hernia ; Polypropylene Mesh ; Prevention and actions ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Surgery ; Surgical Mesh ; Surgical Stomas - adverse effects ; Thoracic Surgery ; Vascular Surgery</subject><ispartof>World journal of surgery, 2010-11, Vol.34 (11), p.2723-2729</ispartof><rights>Société Internationale de Chirurgie 2010</rights><rights>2010 The Author(s) under exclusive licence to Société Internationale de Chirurgie</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4506-ccf0ee9f5a0674c5af642d023295c17c1f5b8fdcbc41a7a71c755c02a2c56a783</citedby><cites>FETCH-LOGICAL-c4506-ccf0ee9f5a0674c5af642d023295c17c1f5b8fdcbc41a7a71c755c02a2c56a783</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00268-010-0739-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00268-010-0739-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,41464,42533,45550,45551,51294</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23447677$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20661562$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tam, Ka-Wai</creatorcontrib><creatorcontrib>Wei, Po-Li</creatorcontrib><creatorcontrib>Kuo, Li-Jen</creatorcontrib><creatorcontrib>Wu, Chih-Hsiung</creatorcontrib><title>Systematic Review of the Use of a Mesh to Prevent Parastomal Hernia</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><addtitle>World J Surg</addtitle><description>Background
Parastomal hernia is a major complication after stoma placement. Surgical procedures for repairing parastomal hernia are difficult and their failure rate is high. The use of a mesh implanted at the primary operation has shown promising results. Therefore, we performed a systematic review of the literature to evaluate the results of the placement of mesh at the time of stoma formation with the aim of preventing parastomal hernia.
Methods
The Medline, Embase, and Cochrane Library databases were searched using the keywords “parastomal or paracolostomy hernia.” Data regarding the incidence of hernia, the operative parameters, including mesh placement and types, and complications, including infection, stoma necrosis, and stenosis, were used and analyzed to evaluate the use of prophylactic mesh at the time of stoma formation.
Results
Three randomized controlled trials, three prospective observational series, and one retrospective study were selected and summarized. During the follow-up period (observation time of 1–83 months), parastomal hernia was present in 32/58 patients (55%) who did not have mesh placement and in 14/179 patients (7.82%) in whom mesh was used. Meta-analysis of three randomized controlled trials showed that prophylactic use of the mesh significantly diminished the incidence of parastomal hernia (
p
< 0.0001). Postoperative morbidity levels were similar whether the mesh was placed or not.
Conclusion
Prophylactic use of mesh at the time of stoma formation is a safe procedure and reduces the risk of parastomal hernia. For more detailed evaluation, additional large, double-blinded, randomized controlled trials with long-term follow-up are necessary.</description><subject>Abdominal Surgery</subject><subject>Biological and medical sciences</subject><subject>Cardiac Surgery</subject><subject>General aspects</subject><subject>General Surgery</subject><subject>Hernia, Ventral - etiology</subject><subject>Hernia, Ventral - prevention & control</subject><subject>Humans</subject><subject>Lightweight Mesh</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mesh Group</subject><subject>Mesh Placement</subject><subject>Miscellaneous</subject><subject>Parastomal Hernia</subject><subject>Polypropylene Mesh</subject><subject>Prevention and actions</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Surgery</subject><subject>Surgical Mesh</subject><subject>Surgical Stomas - adverse effects</subject><subject>Thoracic Surgery</subject><subject>Vascular Surgery</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkF1LHDEUhoNU6mr7A3pTQqF4NfYkk4-dy3bxE6VSK16Gs9mTOjIfmswq--_NMlsFofQq5-J5Tt7zMvZJwIEAsN8SgDTTAgQUYMuqkFtsIlQpC1nK8h2bQGlUnkW5w3ZTugMQ1oB5z3YkGCO0kRM2u1qlgVocas9_0WNNT7wPfLglfp1oPSK_oHTLh55fRnqkbuCXGDENfYsNP6HY1fiBbQdsEn3cvHvs-ujw9-ykOP95fDr7fl54pcEU3gcgqoJGMFZ5jcEouYCctdJeWC-Cnk_Dws-9EmjRCm-19iBRem3QTss9tj_uvY_9w5LS4No6eWoa7KhfJme1McZW0mbyyxvyrl_GLofLkBUCKq0yJEbIxz6lSMHdx7rFuHIC3LpfN_brcr9u3a-T2fm8Wbyct7R4Mf4WmoGvGwCTxyZE7HydXrlSKWvsOmE1ck91Q6v__-xuzq5-HIEWxmRXjm7KWveH4ut1_07-DJ_JoRQ</recordid><startdate>201011</startdate><enddate>201011</enddate><creator>Tam, Ka-Wai</creator><creator>Wei, Po-Li</creator><creator>Kuo, Li-Jen</creator><creator>Wu, Chih-Hsiung</creator><general>Springer-Verlag</general><general>Springer‐Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>201011</creationdate><title>Systematic Review of the Use of a Mesh to Prevent Parastomal Hernia</title><author>Tam, Ka-Wai ; Wei, Po-Li ; Kuo, Li-Jen ; Wu, Chih-Hsiung</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4506-ccf0ee9f5a0674c5af642d023295c17c1f5b8fdcbc41a7a71c755c02a2c56a783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Abdominal Surgery</topic><topic>Biological and medical sciences</topic><topic>Cardiac Surgery</topic><topic>General aspects</topic><topic>General Surgery</topic><topic>Hernia, Ventral - etiology</topic><topic>Hernia, Ventral - prevention & control</topic><topic>Humans</topic><topic>Lightweight Mesh</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mesh Group</topic><topic>Mesh Placement</topic><topic>Miscellaneous</topic><topic>Parastomal Hernia</topic><topic>Polypropylene Mesh</topic><topic>Prevention and actions</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Surgery</topic><topic>Surgical Mesh</topic><topic>Surgical Stomas - adverse effects</topic><topic>Thoracic Surgery</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tam, Ka-Wai</creatorcontrib><creatorcontrib>Wei, Po-Li</creatorcontrib><creatorcontrib>Kuo, Li-Jen</creatorcontrib><creatorcontrib>Wu, Chih-Hsiung</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tam, Ka-Wai</au><au>Wei, Po-Li</au><au>Kuo, Li-Jen</au><au>Wu, Chih-Hsiung</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Systematic Review of the Use of a Mesh to Prevent Parastomal Hernia</atitle><jtitle>World journal of surgery</jtitle><stitle>World J Surg</stitle><addtitle>World J Surg</addtitle><date>2010-11</date><risdate>2010</risdate><volume>34</volume><issue>11</issue><spage>2723</spage><epage>2729</epage><pages>2723-2729</pages><issn>0364-2313</issn><eissn>1432-2323</eissn><coden>WJSUDI</coden><abstract>Background
Parastomal hernia is a major complication after stoma placement. Surgical procedures for repairing parastomal hernia are difficult and their failure rate is high. The use of a mesh implanted at the primary operation has shown promising results. Therefore, we performed a systematic review of the literature to evaluate the results of the placement of mesh at the time of stoma formation with the aim of preventing parastomal hernia.
Methods
The Medline, Embase, and Cochrane Library databases were searched using the keywords “parastomal or paracolostomy hernia.” Data regarding the incidence of hernia, the operative parameters, including mesh placement and types, and complications, including infection, stoma necrosis, and stenosis, were used and analyzed to evaluate the use of prophylactic mesh at the time of stoma formation.
Results
Three randomized controlled trials, three prospective observational series, and one retrospective study were selected and summarized. During the follow-up period (observation time of 1–83 months), parastomal hernia was present in 32/58 patients (55%) who did not have mesh placement and in 14/179 patients (7.82%) in whom mesh was used. Meta-analysis of three randomized controlled trials showed that prophylactic use of the mesh significantly diminished the incidence of parastomal hernia (
p
< 0.0001). Postoperative morbidity levels were similar whether the mesh was placed or not.
Conclusion
Prophylactic use of mesh at the time of stoma formation is a safe procedure and reduces the risk of parastomal hernia. For more detailed evaluation, additional large, double-blinded, randomized controlled trials with long-term follow-up are necessary.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>20661562</pmid><doi>10.1007/s00268-010-0739-2</doi><tpages>7</tpages></addata></record> |
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| source | MEDLINE; Springer Nature - Complete Springer Journals; Wiley Online Library Journals Frontfile Complete |
| subjects | Abdominal Surgery Biological and medical sciences Cardiac Surgery General aspects General Surgery Hernia, Ventral - etiology Hernia, Ventral - prevention & control Humans Lightweight Mesh Medical sciences Medicine Medicine & Public Health Mesh Group Mesh Placement Miscellaneous Parastomal Hernia Polypropylene Mesh Prevention and actions Public health. Hygiene Public health. Hygiene-occupational medicine Surgery Surgical Mesh Surgical Stomas - adverse effects Thoracic Surgery Vascular Surgery |
| title | Systematic Review of the Use of a Mesh to Prevent Parastomal Hernia |
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