Trial reportSurgical endoscopy2014
Prophylactic intraperitoneal mesh placement to prevent incisional hernia after stoma reversal: a feasibility study.
Trial report in Surgical endoscopy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Prophylactic mesh placement to avoid incisional hernias after stoma reversal: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2019Pooled it
- Retrorectus mesh reinforcement of ileostomy site fascial closure: stoma closure and reinforcement (SCAR) trial phase I/II results.Hernia : the journal of hernias and abdominal wall surgery · 2022Trial
- From Diversion to Permanence: Trends in Ostomy Creation in Rectal Cancer Surgery.Journal of clinical medicine · 2025Review
- Prophylactic Biosynthetic Retrorectus Mesh Placement During Stoma Reversal Reduces the Rate of Stoma Site Incisional Hernia.The Permanente journal · 2024Observational
- When to use a prophylactic mesh after stoma closure: a case-control study.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- Synthetic Mesh in Contaminated Abdominal Wall Surgery: Friend or Foe? A Literature Review.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022Review
- Stoma closure and reinforcement (SCAR): A study protocol for a pilot trial.Contemporary clinical trials communications · 2020Article
- Article
- Stomal Closure: Strategies to Prevent Incisional Hernia.Frontiers in surgery · 2018Article
- The incidence of incisional hernias following ileostomy reversal in colorectal cancer patients treated with anterior resection.Annals of the Royal College of Surgeons of England · 2017Article
- Prophylactic meshes in the abdominal wall.Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2017Review
- Use of biologic mesh at ostomy takedown to prevent incisional hernia: A case series.International journal of surgery case reports · 2017Article
- [Prophylactic meshes in the abdominal wall. German version].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2016Review
- Retrospective observational study on the incidence of incisional hernias after reversal of a temporary diverting ileostomy following rectal carcinoma resection with follow-up CT scans.Hernia : the journal of hernias and abdominal wall surgery · 2016Observational
- Incisional reinforcement in high-risk patients.Clinics in colon and rectal surgery · 2014Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIncisional hernias in old stoma wounds occur in one-third of former stoma patients and pose a significant clinical problem. Parastomal hernias can be prevented by prophylactic mesh placement; however, no trial results are available for incisional hernia prevention after stoma reversal. In this feasibility study, we explore the safety of placing an intraperitoneal mesh to prevent incisional herniation after temporary stoma reversal.
methodsTen patients who underwent a low anterior resection with a deviating double-loop stoma for rectal cancer received an intraperitoneal parastomal mesh at the time of stoma formation. At stoma reversal, laparoscopy was performed and adhesions were scored. After reversal, the mesh defect was closed. Mesh and stoma complications were closely monitored. Incisional herniation was assessed at the 2-year follow-up after stoma reversal using ultrasonography.
resultsNo infections occurred after mesh placement. After a median of 6 months, stomas were reversed. Laparoscopy could be performed in seven patients; all patients had adhesions (median of 25 % of mesh surface). In three patients, the bowel was involved; one required a laparotomy for bowel mobilization during stoma reversal. No adhesion-related morbidity was noted at any time. Except for one superficial wound infection after stoma reversal, no infectious complications were observed. After a median follow-up of 26 months, no incisional herniations were demonstrated.
conclusionsProphylactic mesh placement in temporary stoma formations seems safe and feasible and prevents incisional herniation 2 years after stoma reversal.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.