ArticleFrontiers in surgery2018
Stomal Closure: Strategies to Prevent Incisional Hernia.
Article in Frontiers in surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.
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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.
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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
13 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Prevalence and risk factors of incisional hernia after ileostomy reversal: meta-analysis with meta-regression.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- Reversal of stoma with biosynthetic mesh fascial reinforcement: a systematic review and meta-analysis.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024Pooled it
- Closure of stoma site with or without prophylactic mesh reinforcement: a systematic review and meta-analysis.International journal of colorectal disease · 2020Pooled it
- Comparison of continuous single-layer and traditional interrupted suturing techniques in stoma surgery: a retrospective single-center study.BMC surgery · 2026Article
- 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
- Development of a novel nomogram for the prediction of surgical site infection risk after loop ileostomy closure.International journal of colorectal disease · 2024Article
- Evaluation of Mesh Closure of Laparotomy and Extraction Incisions in Open and Laparoscopic Colorectal Surgery: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2024Review
- Diverting ileostomy in benign colorectal surgery: the real clinical cost analysis.Updates in surgery · 2024Article
- Prophylactic Biosynthetic Retrorectus Mesh Placement During Stoma Reversal Reduces the Rate of Stoma Site Incisional Hernia.The Permanente journal · 2024Observational
- Prophylactic Mesh Reinforcement for Non-Midline Incisions: A Systematic Review.HCA healthcare journal of medicine · 2024Review
- Incidence, risk factors, and predictive modeling of stoma site incisional hernia after enterostomy closure: a multicenter retrospective cohort study.BMC gastroenterology · 2023Article
- When to use a prophylactic mesh after stoma closure: a case-control study.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- Factors Predicting the Reversal of Hartmann's Procedure.BioMed research international · 2022Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Incisional hernias following ostomy reversal occur frequently. Incisional hernias at the site of a previous stoma closure can cause significant morbidity, impaired quality of life, lead to life-threatening hernia incarceration or strangulation and result in a significant financial burden on health care systems Despite this, the evidence base on the subject is limited. Many recognised risk factors for the development of incisional hernia following ostomy reversal are related to patient factors such as age, malignancy, diabetes, COPD, hypertension and obesity, and are not easily correctable. There is a limited amount of evidence to suggest that prophylactic mesh reinforcement may be of benefit to reduce the post stoma closure incisional hernia rate but a further large scale randomised controlled trial is due to report in the near future. There appears to be weak evidence to suggest that surgeons should favour circular, or "purse-string" closure of the skin following stoma closure in order to reduce the risk of SSI, which in turn may reduce incisional hernia formation. There remains the need for further evidence in relation to suture technique, skin closure techniques, mechanical bowel preparation and oral antibiotic prescription focusing on incisional hernia development as an outcome measure. Within this review, we discuss in detail the evidence base for the risk factors for the development of, and the strategies to prevent ostomy reversal site incisional hernias.
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