Permanent end-colostomy parastomal hernia prevention using a novel three-dimensional mesh
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ORIGINAL ARTICLE
Permanent end‑colostomy parastomal hernia prevention using a novel three‑dimensional mesh Camillo Leonardo Bertoglio1 · Marianna Maspero1 · Lorenzo Morini1 · Andrea Zironda1 · Bruno Domenico Alampi1 · Michele Mazzola1 · Carmelo Magistro1 · Pietro Carnevali1 · Giovanni Ferrari1 Received: 19 August 2020 / Accepted: 19 October 2020 © Springer-Verlag France SAS, part of Springer Nature 2020
Abstract Purpose Prophylactic mesh placement has been proposed to reduce the high occurrence of parastomal hernia (PSH) after stoma formation. Methods This 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. Results Demographic 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
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