Use of biologic mesh at ostomy takedown to prevent incisional hernia: A case series

INTRODUCTION: Incisional hernias are a relatively common occurrence after ostomy takedown with a incidence of 30–35%. The use of biologic mesh offers a means to bolster the stoma incision site with a lower risk of infection than synthetic mesh. METHODS: This study represents a retrospective chart re...

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Detalles Bibliográficos
Autores principales: Lalezari, Sepehr, Caparelli, Michael L., Allamaneni, Shyam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5651556/
https://www.ncbi.nlm.nih.gov/pubmed/29059608
http://dx.doi.org/10.1016/j.ijscr.2017.10.002
Descripción
Sumario:INTRODUCTION: Incisional hernias are a relatively common occurrence after ostomy takedown with a incidence of 30–35%. The use of biologic mesh offers a means to bolster the stoma incision site with a lower risk of infection than synthetic mesh. METHODS: This study represents a retrospective chart review of six patients who underwent stoma takedown and had biologic mesh placed in the retrorectus position during repair from March 2015 until March 2016. RESULTS: There has been a zero-rate of hernia occurrence for the six patients who underwent stoma takedown. No incisional hernias were noted on physical exam with follow up ranging from 11 to 25 months. CONCLUSION: We conclude that placement of biologic mesh is a safe and effective way of preventing incisional hernias at stoma sites.

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