Parastomal Hernia
Conditions
Keywords
Parastomal hernias, Tolerance of lightweight meshes, Paracolostomy hernias, Peristomal hernias
Brief summary
Randomized, controlled, prospective study of 54 patients receiving surgery for cancer of the lower third of the rectum with a permanent end colostomy. The aim of the study was to reduce parastomal hernia (PH) occurrence by implanting a lightweight mesh in the sublay position. Patients were followed up a) clinically and b) radiologically by means of abdominal CT. In the clinical follow-up, hernias were observed in four out of 27 patients (14.8%) in the study group and in eleven out of 27 (40.7%) in the control group (p=0.03). The implantation of the mesh reduces the appearance of PH, is well tolerated, and does not increase morbidity
Interventions
DEVICEMesh (Ultrapro ®)
In the mesh group, the mesh was placed in the sublay position, above the peritoneum and the posterior rectus sheath of the rectus abdominis muscles, with a minimum of 5 cm of mesh around the colostomy
PROCEDUREConventional sigmoid end colostomy
Patients receiving conventional sigmoid end colostomy, without mesh
Sponsors
Corporacion Parc Tauli
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patients scheduled for permanent end colostomy to treat cancer of the lower third of the rectum, * Aged over 18, * Charlson comorbidity index below 7 * Elective surgery * Radical surgery
Exclusion criteria
* Loop colostomies, * Emergency surgery, * Body mass index above 35 kg/sq.m., * Palliative surgery, * Hepatic cirrhosis, * Severe COPD (requiring home oxygen treatment), * Corticoid treatment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the reduction in the incidence of Parastomal Hernia after the mesh placement | 6 months |
Outcome results
None listed