Evidence map›Paper›PMID 27942965›Full record

SynthesisTechniques in coloproctology2017

Prophylactic mesh to prevent parastomal hernia: a meta-analysis of randomized controlled studies.

S V Patel, L Zhang, S A Chadi, S D Wexner

Abstract readMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in Techniques in coloproctology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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

20 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Pooled it
  5. Prosthetic mesh placement for the prevention of parastomal herniation.The Cochrane database of systematic reviews · 2018
    Pooled it
  6. Pooled it
  7. Parastomal hernia in the difficult patient: is Tophat plasty the solution?Hernia : the journal of hernias and abdominal wall surgery · 2026
    Observational
  8. Review
  9. Article
  10. Prophylactic Mesh in Parastomal Hernia Prevention: Current Evidence.Journal of abdominal wall surgery : JAWS · 2025
    Review
  11. 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 · 2022
    Review
  12. Permanent end-colostomy parastomal hernia prevention using a novel three-dimensional mesh.Hernia : the journal of hernias and abdominal wall surgery · 2021
    Observational
  13. Review
  14. Article
  15. Ostomy-Related Complications.Clinics in colon and rectal surgery · 2019
    Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

S V PatelDepartment of Surgery, Kingston General Hospital, 76 Stuart Street, Kingston, ON, K7L 2V7, Canada.
L ZhangDepartment of Surgery, Kingston General Hospital, 76 Stuart Street, Kingston, ON, K7L 2V7, Canada. lisa.zhang@queensu.ca.
S A ChadiDigestive Disease Center, Cleveland Clinic Florida, Weston, FL, USA.
S D WexnerDigestive Disease Center, Cleveland Clinic Florida, Weston, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of the present meta-analysis was to determine whether prophylactic mesh decreases the odds of parastomal hernia formation. Randomized controlled trials referenced in MEDLINE or EMBASE between 1946 and 2016 comparing prophylactic mesh to standard stoma formation were included. The primary outcome was occurrence of parastomal hernia. Secondary outcomes were parastomal hernia requiring surgical intervention and complications. Odds ratios were calculated for the primary and secondary outcomes. Subgroup analyses were conducted based on mesh type, mesh location, laparoscopic versus open, and method of hernia diagnosis. Nine randomized controlled trials with 569 participants were included. There was a significant decrease in the odds of developing a parastomal hernia in the prophylactic mesh group [odds ratio (OR) 0.21, 95% confidence interval (CI) 0.11-0.38, p < 0.00001, I

Indexed as

Surgical MeshHernia, AbdominalHumansIncisional HerniaRandomized Controlled Trials as TopicSurgical StomasComplicationsHernia repairParastomal herniaProphylactic mesh

Identifiers

PMID27942965

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.