Experiences with a Prophylactic Mesh in 93 Consecutive Ostomies

World Journal of Surgery - Tập 34 - Trang 1637-1640 - 2010
Arthur Jänes1, Yucel Cengiz1, Leif A. Israelsson2
1Department of Surgery, Sundsvalls sjukhus, Sundsvall, Sweden
2Department of Surgery and Perioperative Science, Umeå University, Umeå, Sweden

Tóm tắt

Parastomal hernia may be present in half of patients after one year. A prophylactic low-weight prosthetic mesh in a sublay position at the index operation reduces the risk of parastomal hernia, without increasing the rate of complications. Between April 2003 and November 2006 all patients with an ostomy created at an open laparotomy were followed for at least one year. A prophylactic mesh was used in 75 of 93 patients. In 9 a prophylactic mesh could not be placed due to scarring after previous surgery. In 9 a mesh was omitted after surgeon’s decision. In 19 patients a mesh was used in severely contaminated wounds. With a mesh 6 of 73 (8%) patients developed a surgical site infection and without a mesh 4 of 15 (27%). With a mesh parastomal hernia was present in 8 of 61 (13%) patients and without a mesh in 8 of 12 (67%). Creating a stoma in routine open surgery a prophylactic mesh can be placed in most patients. A mesh does not increase the rate of complications and can be used in severely contaminated wounds.

Tài liệu tham khảo

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