SynthesisJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2011
Repair of parastomal hernias with biologic grafts: a systematic review.
Synthesis in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effects of different mesh materials on complications after prophylactic placement for stoma formation: a systematic review and network meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- European Hernia Society guidelines on prevention and treatment of parastomal hernias.Hernia : the journal of hernias and abdominal wall surgery · 2018Guideline
- Long-term outcome of prophylactic biosynthetic mesh reinforcement at the time of loop ileostomy reversal for colorectal cancer- results of a case-matched study.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Long-term outcomes after open parastomal hernia repair at a high-volume center.Surgical endoscopy · 2025Article
- A new anterior approach to parastomal hernia repair (PHR) with linear stapler suture: A case report.Annals of medicine and surgery (2012) · 2020Article
- Stomach in a parastomal hernia: a rare complication of stomas.BMJ case reports · 2020Article
- Safety and efficacy of prophylactic resorbable biosynthetic mesh in loop-ileostomy reversal: a case-control study.Updates in surgery · 2020Article
- [Principles and parallels of prevention and repair of parastomal hernia with meshes].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2020Review
- Parastomal and incisional hernia following laparoscopic/open abdominoperineal resection: is there a real difference?Surgical endoscopy · 2019Article
- The Tensile Strength of Full-Thickness Skin: A Laboratory Study Prior to Its Use as Reinforcement in Parastomal Hernia Repair.Frontiers in surgery · 2019Article
- Modified laparoscopic Sugarbaker repair of parastomal hernia with a three-point anchoring technique.World journal of clinical cases · 2018Article
- Article
- Parastomal hernia repair using the "top hat" technique - An initial experience in 30 patients at Memorial Sloan Kettering Cancer Center.American journal of surgery · 2018Article
- What is the evidence for the use of biologic or biosynthetic meshes in abdominal wall reconstruction?Hernia : the journal of hernias and abdominal wall surgery · 2018Review
- Article
- Stoma Complications.Clinics in colon and rectal surgery · 2017Review
- Parastomal Hernia: Avoidance and Treatment in the 21st Century.Clinics in colon and rectal surgery · 2016Article
- Strangulated ileostomy evisceration following lateralizing mesh repair of parastomal hernia.Hernia : the journal of hernias and abdominal wall surgery · 2016Article
- Onlay parastomal hernia repair with cross-linked porcine dermal collagen biologic mesh: long-term results.Hernia : the journal of hernias and abdominal wall surgery · 2016Article
- Laparoscopic parastomal hernia repair: No different than a laparoscopic ventral hernia repair?Surgical endoscopy · 2016Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBiologic grafts are increasingly used instead of synthetic mesh for parastomal hernia repair due to concerns of synthetic mesh-related complications. This systematic review was designed to evaluate the use of these collagen-based scaffolds for the repair of parastomal hernias.
methodsStudies were retrieved after searching the electronic databases MEDLINE, EMBASE and Cochrane CENTRAL. The search terms 'paracolostomy', 'paraileostomy', 'parastomal', 'colostomy', 'ileostomy', 'hernia', 'defect', 'closure', 'repair' and 'reconstruction' were used. Selection of studies and assessment of methodological quality were performed with a modified MINORS index. All reports on repair of parastomal hernias using a collagen-based biologic scaffold to reinforce or bridge the defect were included. Outcomes were recurrence rate, mortality and morbidity.
resultsFour retrospective studies with a combined enrolment of 57 patients were included. Recurrence occurred in 15.7% (95% confidence interval [CI] 7.8-25.9) of patients and wound-related complications in 26.2% (95% CI 14.7-39.5). No mortality or graft infections were reported.
conclusionsThe use of reinforcing or bridging biologic grafts during parastomal hernia repair results in acceptable rates of recurrence and complications. However, given the similar rates of recurrence and complications achieved using synthetic mesh in this scenario, the evidence does not support use of biologic grafts.
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