Clinical value of mesh prophylaxis for parastomal hernia based on evidence-based medicine.
10.3760/cma.j.cn112139-20230116-00024
- Author:
Fei YUE
1
;
Jian Wen LI
1
Author Information
1. General Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Minimally Invasive Surgery Center, Shanghai 200025, China.
- Publication Type:Journal Article
- MeSH:
Humans;
Hernia, Ventral/surgery*;
Surgical Mesh/adverse effects*;
Quality of Life;
Incisional Hernia/prevention & control*;
Surgical Stomas/adverse effects*;
Evidence-Based Medicine;
Colostomy/adverse effects*;
Randomized Controlled Trials as Topic
- From:
Chinese Journal of Surgery
2023;61(6):446-450
- CountryChina
- Language:Chinese
-
Abstract:
The incidence of parastomal hernia is substantially high, significantly affecting the quality of life of patients with stoma. How to effectively solve the problem of parastomal hernia is a long-term focus of hernia and abdominal wall surgery and colorectal surgery. The European Hernia Society guidelines on prevention and treatment of parastomal hernia published in 2018 has recommended the use of a prophylactic mesh to prevent parastomal hernia for the first time. In the following 5 years, more randomized controlled trials of multi-center, large-sample, double-blind, long-term follow-up have been published, and no significant effect of mesh prophylaxis has been observed on the incidence of parastomal hernia. However, whether mesh could decrease surgical intervention by limiting the symptoms of parastomal hernias would become a potential value of prophylaxis, which requires further research to elucidate.
