Evidence map›Paper›PMID 33128679›Full record

Observational studyHernia : the journal of hernias and abdominal wall surgery2021

Permanent end-colostomy parastomal hernia prevention using a novel three-dimensional mesh.

Camillo Leonardo Bertoglio, Marianna Maspero, Lorenzo Morini, Andrea Zironda, Bruno Domenico Alampi, Michele Mazzola, Carmelo Magistro, Pietro Carnevali, Giovanni Ferrari

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Hernia : the journal of hernias and abdominal wall surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 25% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Prophylactic Mesh in Parastomal Hernia Prevention: Current Evidence.Journal of abdominal wall surgery : JAWS · 2025
    Review
  5. [Prophylaxis of parastomal, perineal and incisional hernias in colorectal surgery].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021
    Review
  6. Review
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

9 authors at 1 institution in 1 country.

Camillo Leonardo BertoglioDivision of Oncologic and Minimally Invasive Surgery, Niguarda General Hospital, ASST Grande Ospedale Metropolitano Niguarda, Piazza Ospedale Maggiore 3, 20162, Milan, Italy. camilloleonardo.bertoglio@ospdealeniguarda.it.ORCID http://orcid.org/0000-0002-5925-983X
Marianna MasperoDivision of Oncologic and Minimally Invasive Surgery, Niguarda General Hospital, ASST Grande Ospedale Metropolitano Niguarda, Piazza Ospedale Maggiore 3, 20162, Milan, Italy.ORCID http://orcid.org/0000-0002-7589-4489
Lorenzo MoriniDivision of Oncologic and Minimally Invasive Surgery, Niguarda General Hospital, ASST Grande Ospedale Metropolitano Niguarda, Piazza Ospedale Maggiore 3, 20162, Milan, Italy.ORCID http://orcid.org/0000-0001-5191-0045
Andrea ZirondaDivision of Oncologic and Minimally Invasive Surgery, Niguarda General Hospital, ASST Grande Ospedale Metropolitano Niguarda, Piazza Ospedale Maggiore 3, 20162, Milan, Italy.ORCID http://orcid.org/0000-0002-0874-1861
Bruno Domenico AlampiDivision of Oncologic and Minimally Invasive Surgery, Niguarda General Hospital, ASST Grande Ospedale Metropolitano Niguarda, Piazza Ospedale Maggiore 3, 20162, Milan, Italy.ORCID http://orcid.org/0000-0002-0172-484X
Michele MazzolaDivision of Oncologic and Minimally Invasive Surgery, Niguarda General Hospital, ASST Grande Ospedale Metropolitano Niguarda, Piazza Ospedale Maggiore 3, 20162, Milan, Italy.ORCID http://orcid.org/0000-0002-3546-197X
Carmelo MagistroDivision of Oncologic and Minimally Invasive Surgery, Niguarda General Hospital, ASST Grande Ospedale Metropolitano Niguarda, Piazza Ospedale Maggiore 3, 20162, Milan, Italy.ORCID http://orcid.org/0000-0003-0547-8153
Pietro CarnevaliDivision of Oncologic and Minimally Invasive Surgery, Niguarda General Hospital, ASST Grande Ospedale Metropolitano Niguarda, Piazza Ospedale Maggiore 3, 20162, Milan, Italy.
Giovanni FerrariDivision of Oncologic and Minimally Invasive Surgery, Niguarda General Hospital, ASST Grande Ospedale Metropolitano Niguarda, Piazza Ospedale Maggiore 3, 20162, Milan, Italy.ORCID http://orcid.org/0000-0002-5405-9046
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeProphylactic mesh placement has been proposed to reduce the high occurrence of parastomal hernia (PSH) after stoma formation.

methodsThis is an observational study comparing two cohorts of patients: a mesh prophylaxis group (who received mesh prevention since introduction at our Institution) and a no mesh prophylaxis group (retrospectively selected from our historical series). Same exclusion criteria were applied for both groups. The study was conducted at a tertiary referral center for colorectal surgery. 43 patients were operated with mesh prophylaxis between May 2015 and may 2019. 45 patients underwent end-colostomy formation without prophylaxis between April 2011 and April 2015. The primary outcome measure was PSH development at 12-month follow up.

resultsDemographic variables and risk factors for PSH were comparable between the two groups. There was no difference between the two cohorts in terms of operative time and main early postoperative outcomes. 37 patients completed the 12-month follow up in each group. PSH occurrence after 12-months was 11% in the mesh prophylaxis group and 54% in the no mesh prophylaxis group (p < 0.0001). There were no differences in long-term complications. 5% of patients who received mesh prophylaxis underwent emergency surgery for bowel occlusion at 7 and 10 months after surgery, with partial or complete mesh removal. At multivariate analysis, mesh prophylaxis was a protective factor for PSH development at 12 months (p < 0.0001).

conclusionsProphylactic intraperitoneal mesh placement appears to be effective in preventing PSH.

Indexed as

Hernia, VentralSurgical StomasColostomyHerniorrhaphyHumansPostoperative ComplicationsRetrospective StudiesSurgical MeshColostomyHernia preventionParastomal herniaThree-dimensional mesh

Identifiers

PMID33128679
OpenAlexW3097937018

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.