Aandoeningen van de buikwand Incisional hernia at the former stoma site.
Conditions
Interventions
A preventive mesh will be placed using a sublay keyhole technique
(pre-peritoneal, retromuscular) at stoma formation. The mesh (versatex mesh
15x15cm) will be left in situ after stoma reversal and t
Sponsors
Medisch Universitair Ziekenhuis Maastricht
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: - Age * 18 years - Diagnosed with colorectal carcinoma - Bowel resection following stoma formation, intended to be temporary. - Elective surgery - ASA-score I-III - Signed informed consent
Exclusion criteria
Exclusion criteria: - Emergency operation - Peritonitis (i.e. bowel perforation) - Bowel obstruction - A life expectancy of less than 2 years (distant metastasis i.e. located in the liver, peritoneum, lung, cerebral or bone) - Earlier hernia repair with mesh placed in a 10cm proximity of the future stoma site. - Chronic use of antibiotics - Chronic use of immunosuppressive medication - ASA-score IV or above - Not able to sign informed consent - Patient being unable to speak Dutch - Patient allergic to one of the components of the mesh
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary goal of this study is to investigate if the incidence of incisional hernias at the former stoma site is reduced by preventive mesh placement. | — |
Secondary
| Measure | Time frame |
|---|---|
| - Occurrence of parastomal hernia - Occurrence of stoma prolapse - Occurrence of mesh infection - Occurrence of wound infections - Occurrence of seroma - Quality of life score - Operation length - Time to stoma reversal - Cost-effectiveness | — |
Countries
Netherlands
Outcome results
None listed