Prophylactic Mesh Application during Colostomy to Prevent Parastomal Hernia: A Meta-Analysis
Joint Authors
Zhu, JunJia
Pu, YuWei
Yang, XiaoDong
Zhang, DeBao
Zhao, Kui
Peng, Wei
Xing, ChunGen
Source
Gastroenterology Research and Practice
Issue
Vol. 2016, Issue 2016 (31 Dec. 2015), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-10-12
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Background.
Parastomal hernia is a common complication after stoma formation, especially in permanent colostomy.
The present meta-analysis aimed to evaluate the effectiveness of prophylactic mesh application during permanent colostomy for preventing parastomal hernia.
Methods.
Randomized controlled trials comparing outcomes in patients who underwent colostomy with or without prophylactic mesh application were identified from PubMed, EMBASE, Science Citation Index, and the Cochrane Libraries.
Results.
This meta-analysis included 8 randomized controlled trials with 522 participants.
Our pooled results showed that prophylactic mesh application (mesh group) reduced the incidence of clinically detected parastomal hernia (risk ratio [RR]: 0.22; 95% confidence interval [CI]: 0.13–0.38; P<0.00001), radiologically detected parastomal hernia (RR: 0.62; 95% CI: 0.47–0.82; P=0.0008), and surgical repair for herniation (RR: 0.34; 95% CI: 0.14–0.83; P=0.02) when compared with conventional permanent colostomy formation (control group).
The incidence of complications, including wound infection, peristomal infection, mesh infection, stomal necrosis and stenosis, stoma site pain, and fistula, was not higher in the mesh group than in the control group.
Conclusions.
Our meta-analysis demonstrated that prophylactic mesh application at the time of primary colostomy formation is a promising method for the prevention of parastomal herniation.
American Psychological Association (APA)
Zhu, JunJia& Pu, YuWei& Yang, XiaoDong& Zhang, DeBao& Zhao, Kui& Peng, Wei…[et al.]. 2016. Prophylactic Mesh Application during Colostomy to Prevent Parastomal Hernia: A Meta-Analysis. Gastroenterology Research and Practice،Vol. 2016, no. 2016, pp.1-10.
https://search.emarefa.net/detail/BIM-1104597
Modern Language Association (MLA)
Zhu, JunJia…[et al.]. Prophylactic Mesh Application during Colostomy to Prevent Parastomal Hernia: A Meta-Analysis. Gastroenterology Research and Practice Vol. 2016, no. 2016 (2015), pp.1-10.
https://search.emarefa.net/detail/BIM-1104597
American Medical Association (AMA)
Zhu, JunJia& Pu, YuWei& Yang, XiaoDong& Zhang, DeBao& Zhao, Kui& Peng, Wei…[et al.]. Prophylactic Mesh Application during Colostomy to Prevent Parastomal Hernia: A Meta-Analysis. Gastroenterology Research and Practice. 2016. Vol. 2016, no. 2016, pp.1-10.
https://search.emarefa.net/detail/BIM-1104597
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1104597