TY - JOUR
T1 - Prophylactic mesh placement to avoid incisional hernias after stoma reversal
T2 - a systematic review and meta-analysis
AU - van den Hil, L. C. L.
AU - van Steensel, S.
AU - Schreinemacher, M. H. F.
AU - Bouvy, N. D.
N1 - Publisher Copyright:
© 2019, The Author(s).
PY - 2019/8
Y1 - 2019/8
N2 - PurposeTo provide an overview of the available literature on prevention of incisional hernias after stoma reversal, with the use of prophylactic meshes.MethodsA literature search of Pubmed, MEDLINE and EMBASE was performed. Search terms for stoma, enterostomy, mesh, prophylaxis and hernia were used. Search was updated to December 31th 2018. No time limitations were used, while English, Geman, Dutch and French were used as language restrictions. The primary outcome was the incidence of incisional hernia formation after stoma reversal. Secondary outcomes were mesh-related complications. Data on study design, sample size, patient characteristics, stoma and mesh characteristics, duration of follow-up and outcomes were extracted from the included articles.ResultsA number of 241 articles were identified and three studies with 536 patients were included. A prophylactic mesh was placed in 168 patients to prevent incisional hernias after stoma reversal. Follow-up ranged from 10 to 21months. The risk of incisional hernia in case of prophylactic mesh placement was significantly lower in comparison to no mesh placement (OR 0.10, 95% CI 0.04-0.27, p
AB - PurposeTo provide an overview of the available literature on prevention of incisional hernias after stoma reversal, with the use of prophylactic meshes.MethodsA literature search of Pubmed, MEDLINE and EMBASE was performed. Search terms for stoma, enterostomy, mesh, prophylaxis and hernia were used. Search was updated to December 31th 2018. No time limitations were used, while English, Geman, Dutch and French were used as language restrictions. The primary outcome was the incidence of incisional hernia formation after stoma reversal. Secondary outcomes were mesh-related complications. Data on study design, sample size, patient characteristics, stoma and mesh characteristics, duration of follow-up and outcomes were extracted from the included articles.ResultsA number of 241 articles were identified and three studies with 536 patients were included. A prophylactic mesh was placed in 168 patients to prevent incisional hernias after stoma reversal. Follow-up ranged from 10 to 21months. The risk of incisional hernia in case of prophylactic mesh placement was significantly lower in comparison to no mesh placement (OR 0.10, 95% CI 0.04-0.27, p
KW - Temporary stoma
KW - Stoma reversal
KW - Incisional hernia
KW - Prophylactic mesh
KW - MIDLINE LAPAROTOMIES
KW - PARASTOMAL HERNIA
KW - REPAIR
KW - REINFORCEMENT
KW - PREVENTION
KW - CLOSURE
KW - SUTURE
KW - SITE
U2 - 10.1007/s10029-019-01996-8
DO - 10.1007/s10029-019-01996-8
M3 - (Systematic) Review article
C2 - 31302788
SN - 1265-4906
VL - 23
SP - 733
EP - 741
JO - Hernia
JF - Hernia
IS - 4
ER -