Trial reportHernia : the journal of hernias and abdominal wall surgery2025
Prevention of incisional hernia in ileostomy reversal. 5-year follow-up prospective randomized controlled trial.
Trial report in Hernia : the journal of hernias and abdominal wall surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02896686 (Multicentric, Prospective, Randomized and Simple Blind Study to Determine the Efficacy of the Placement of an Onlay Mesh for Prevention of Incisional Hernia After Loop Ileostomy Closure in Patients With a Prior Rectal Resection for Cancer), which is not on this map. Not yet cited in PubMed.
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Multicentric, Prospective, Randomized and Simple Blind Study to Determine the Efficacy of the Placement of an Onlay Mesh for Prevention of Incisional Hernia After Loop Ileostomy Closure in Patients With a Prior Rectal Resection for Cancer
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Authors and funding
8 authors.
Funding
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Abstract
purposeThe aim of the study is to analyze the long-term protective effect (5 years) of associating an onlay mesh in the closure of the loop ileostomy closure incision. MATERIAL &
methodsMulticenter, prospective, randomized, controlled study including patients undergoing lateral ileostomy closure. In the control group, the incision closure was performed using continuous 4:1 polydioxanone suture. In the study group, after the same type of closure, a light polypropylene onlay mesh was placed. The presence of incisional hernia is evaluated by physical examination and CT at 1 and 5 years of follow-up.
results58 patients were included (27 in control group and 31 in mesh group). Both groups had similar basal characteristics. At the 12-month follow-up, 3 incisional hernias (11%) were detected in the control group, while none were observed in the mesh group. The difference did not reach statistical significance. At 5 years of follow-up, no incisional hernia was observed in the mesh group, compared to 5 in the control group (18.5%), with 2 more cases appearing compared to the control of the first 12 months, and achieving statistical significance. In the control group, 2 patients required surgery for their incisional hernia. No long-term mesh-related complications have been observed.
conclusionsThe protective effect of associating an onlay mesh is maintained in the long term in the closure of this type of interventions, with greater differences compared to the control group. Long-term follow-up is necessary in these studies. TRIAL REGISTRATION NUMBER: ClinicalTrials.gov NCT02896686. 2016–09-12.
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