Evidence map›Paper›PMID 27269439›Full record

SynthesisAnnals of the Royal College of Surgeons of England2017

Prophylactic mesh use during primary stoma formation to prevent parastomal hernia.

J B Cornille, S Pathak, I R Daniels, N J Smart

Open access · greenAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Annals of the Royal College of Surgeons of England, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
6.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Review
  5. Prophylactic Mesh in Parastomal Hernia Prevention: Current Evidence.Journal of abdominal wall surgery : JAWS · 2025
    Review
  6. Article
  7. [Stoma-associated complications-Prevention strategy and treatment concepts].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2022
    Article
  8. Permanent end-colostomy parastomal hernia prevention using a novel three-dimensional mesh.Hernia : the journal of hernias and abdominal wall surgery · 2021
    Observational
  9. [Principles and parallels of prevention and repair of parastomal hernia with meshes].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2020
    Review
  10. Review
  11. Article
  12. Etiological analysis of parastomal hernia by computed tomography examination.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2019
    Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

J B CornilleRoyal Devon and Exeter NHS Foundation Trust , UK.
S PathakRoyal Devon and Exeter NHS Foundation Trust , UK.
I R DanielsRoyal Devon and Exeter NHS Foundation Trust , UK.
N J SmartRoyal Devon and Exeter NHS Foundation Trust , UK.
Royal Devon & Exeter NHS Foundation Trust · GB

Funding

Department of Health HTA/14/166/01
6 · The paper itself

Abstract

Introduction Parastomal hernia (PSH) is a common problem following stoma formation. The optimal technique for stoma formation is unknown although recent studies have focused on whether placement of prophylactic mesh at stoma formation can reduce PSH rates. The aim of this study was to systematically review use of prophylactic mesh versus no mesh with regard to occurrence of PSH and peristomal complications. Methods A systematic search was performed using PubMed, Embase™ and the Cochrane Library to identify randomised controlled trials that analysed placement of prophylactic mesh versus no mesh at time of initial surgery. Meta-analysis was performed using random effects methods. Results A total of 506 studies were identified by our search strategy. Of these, 8 studies were included, involving 430 patients (217 mesh vs 213 no mesh). Prophylactic mesh placement resulted in a significantly lower rate of PSH formation (42/217 [19.4%] vs 92/213 [43.2%]) with a combined risk ratio of 0.40 (95% confidence interval [CI]: 0.21-0.75, p=0.004). Placement of prophylactic mesh did not result in increased peristomal complications (15/218 [6.9%] vs 16/227 [7.0%]) with a combined risk ratio of 1.0 (95% CI: 0.49-2.01, p=0.990). Conclusions Prophylactic placement of mesh at primary stoma formation may reduce the incidence of PSH, without an increase in peristomal complications. However, the overall quality of the randomised controlled trials included in the meta-analysis was poor, and should prompt caution regarding the applicability of the findings of the individual studies and the meta-analysis to everyday practice.

Indexed as

Surgical MeshSurgical StomasAdultAftercareAgedFemaleHernia, VentralHumansMaleMiddle AgedPostoperative ComplicationsRandomized Controlled Trials as TopicMeshParastomal herniaPreventionSystematic review

Identifiers

PMID27269439
PMCPMC5392779
OpenAlexW2413353525

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.