Efficacy of prophylactic mesh in preventing parastomal hernia in end-colostomy construction

Authors

Amira M. Elfeky, Lecturer of general surgery Department, Faculty of medicine- Menoufia UniversityFollow
Ahmed F. Elkased, professor of surgical oncology, general surgery department, faculty of medicine, Menofia university
Ahmed S. Algmmal, Professor of surgical oncology, Faculty of medicine- Menoufia University
Mohamed H. Gadallah, MBBCh, Fuculty of medicine, Menofia unevirsity
Ahmed S. El-Kelany, Lecturer of general surgery Department, Faculty of Medicine, Menoufia University

Subject Area

Surgery

Article Type

Original Study

Abstract

Objectives to assess the effectiveness of prophylactic mesh at stoma site to prevent of parastomal hernia development. Background complications of parastomal hernia after stoma creation are: pain, obstruction, strangulation that require urgent intervention. Also surgical repair of may be challenging with risk of recurrence. Methods This randomized clinical trial included 46 patients who were diagnosed with colorectal cancer and underwent abdominoperineal resection and were indicated for permanent stoma in Menoufia university hospital during the period between April 2022 to April 2023. Patients were randomized over two groups mesh versus non-mesh. Follow up was done for a year postoperatively to assess development of hernia at stoma site. Results Patients who had a parastomal mesh inserted showed slightly longer operative time compared to non-mesh group (3.17±0.24 hours versus 2.23±0.26 hours) with p values=

Recommended Citation

Elfeky, Amira M.; Elkased, Ahmed F.; Algmmal, Ahmed S.; Gadallah, Mohamed H.; and El-Kelany, Ahmed S. (2024) "Efficacy of prophylactic mesh in preventing parastomal hernia in end-colostomy construction," Menoufia Medical Journal: Vol. 37: Iss. 4, Article 21.
DOI: https://doi.org/10.59204/2314-6788.3301