Randomized clinical trial of the use of a prosthetic mesh to prevent parastomal hernia
Randomized clinical trial of the use of a prosthetic mesh to prevent parastomal hernia
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DOI：
10.1002/bjs.4417
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发表时间：
2004-03-01
影响因子：
9.6
通讯作者：
Israelsson, LA
中科院分区：
文献类型：
--
作者：
J채nes, A;Cengiz, Y;Israelsson, LA
背景资料：造口旁疝是结肠造口术后常见的并发症，使用补片修补的复发率最低。本研究的目的是确定在primary operation.Methods：进行永久性结肠造口术的患者使用网造口并发症的影响，随机分为传统造口或添加放置在sublay位置的网。一个大孔的轻质网减少聚丙烯含量和高比例的可吸收材料used.Results：27例患者被随机分配到有一个传统的造口和27有网。无感染、瘘管形成和疼痛发生（观察时间2-28个月）。在12个月的随访中，造口旁疝存在于8个18例患者没有一个网，并在没有16例患者中的mesh used.Conclusion：一个轻量级的假体网在一个sublay位置在造口网站是不相关的感染或其他早期并发症。初步结果表明，补片可防止造口旁疝的发生。
Background: Parastomal hernia is a common complication following colostomy, and repair with a prosthetic mesh is associated with the lowest recurrence rate. The aim of this study was to determine the effect on stoma complications of using a mesh at the primary operation.Methods: Patients undergoing permanent colostomy were randomized to have either a conventional stoma or the addition of a mesh placed in a sublay position. A large-pore lightweight mesh with a reduced polypropylene content and a high proportion of absorbable material was used.Results: Twenty-seven patients were randomized to have a conventional stoma and 27 to have the mesh. No infection, fistula formation or pain occurred (observation time 2-28 months). At the 12-month follow-up, parastomal hernia was present in eight of 18 patients without a mesh and in none of 16 patients in whom the mesh was used.Conclusion: A lightweight prosthetic mesh in a sublay position at the stoma site was not associated with infection or other early complications. Preliminary results indicate that the mesh prevented the development of parastomal hernia.