When to use a prophylactic mesh after stoma closure: a case–control study
Fecha
2021-12Autor
Resumen
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Abstract
Purpose The closure of a stoma is frequently associated with an acceptable morbidity and mortality. One of the most frequent
complications is incisional hernia at the stoma site, which occurs in 20%–40% of cases, higher than incisions in other parts
of the abdomen. The objective of this study was to identify the risk factors associated with the presentation of incisional
hernia after stoma closure, this in order to select patients who are candidates for prophylactic mesh placement during closure.
Methods An unpaired case–control study was conducted. This study involved 164 patients who underwent a stoma closure
between January 2014 and December 2019. Associated factors for the development of incisional hernia at the site of the
stoma after closure were identifed, for which it was performed a logistic regression analysis.
Results 41 cases and 123 controls were analyzed, with a mean follow-up of 35.21±18.42 months, the mean age for performing the stoma closure was 65.28±14.07 years, the most frequent cause for performing the stoma was malignant disease
(65.85%). Risk factor for the development of incisional hernia at the stoma site after its closure was identifed as a history
of parastomal hernia (OR 5.90, CI95% 1.97–17.68).
Conclusions The use of prophylactic mesh at stoma closure should be considered in patients with a history of parastomal
hernia since these patients present a signifcantly higher risk of developing a hernia.
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URI
http://repositorio.mederi.com.co/handle/123456789/649https://link.springer.com/content/pdf/10.1007/s10029-021-02508-3.pdf
Colecciones
- Investigación clínica [389]