ArticleBMC surgery2017
Preventing parastomal hernias with systematic intraperitoneal specifically designed mesh.
Article in BMC surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.
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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
10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 20 citations in OpenAlex.
- Pooled it
- Comparison of different modalities for the diagnosis of parastomal hernia: a systematic review.International journal of colorectal disease · 2020Pooled it
- Italian guidelines for the surgical management of enteral stomas in adults.Techniques in coloproctology · 2019Guideline
- Retrospective evaluation of a funnel-shaped mesh for the prevention of parastomal hernias in patients with permanent end colostomy.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Prophylactic Mesh in Parastomal Hernia Prevention: Current Evidence.Journal of abdominal wall surgery : JAWS · 2025Review
- Comparison of the 3-D mesh and Sugarbaker repair for parastomal hernia: a single center experience in China.Updates in surgery · 2024Observational
- Parastomal hernia prevention with an intraperitoneal prophylactic 3D-funnel mesh: review of the technique and middle-term results.Hernia : the journal of hernias and abdominal wall surgery · 2024Observational
- Surgical strategies for recurrent parastomal hernia after a primary repair with a DynameshHernia : the journal of hernias and abdominal wall surgery · 2023Article
- Permanent end-colostomy parastomal hernia prevention using a novel three-dimensional mesh.Hernia : the journal of hernias and abdominal wall surgery · 2021Observational
- Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundParastomal hernia is a very common complication after stoma formation. Current surgical techniques for repairing parastomal hernia have unsatisfactory results. We aim to assess our preliminary experience with prophylactic mesh placement at the time of stoma formation.
methodsData were prospectively recorded. A specifically designed mesh made of polyvinyl fluoride with central conduit (Dynamesh IPST®) was fixed using an intra-peritoneal onlay technique. Safety was evaluated by means of surgical data and frequency of mesh-related complications, efficacy by the rate of parastomal hernias.
resultsThirty-four patients were included in the study. Three of them died before a year of follow up (not related to the stoma), so they were excluded. The other 31 patients (11 women and 20 men) were prospectively followed up after different pathologies resulting in a permanent colostomy. Twelve months after surgery CT-Scan imaging revealed two (6.4%) parastomal hernias, one of them already clinically suspected. During the follow up, 29% of the patients (n = 9) developed another type of hernia (incisional, inguinal or both). In five patients (16.1%) a light stomal retraction of the otherwise slightly prominent ostomy was observed. Median clinical follow-up was 17.5 months (range 12-34).
conclusionProphylactic parastomal mesh placement might be a safe and effective procedure with a potential to reduce the risk of parastomal hernia. Routine use of this technique should be further analysed.
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