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Prophylactic mesh placement to avoid incisional hernias after stoma reversal: a systematic review and meta-analysis

PURPOSE: To provide an overview of the available literature on prevention of incisional hernias after stoma reversal, with the use of prophylactic meshes. METHODS: A literature search of Pubmed, MEDLINE and EMBASE was performed. Search terms for stoma, enterostomy, mesh, prophylaxis and hernia were...

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Autores principales: van den Hil, L. C. L., van Steensel, S., Schreinemacher, M. H. F., Bouvy, N. D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Paris 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6661031/
https://www.ncbi.nlm.nih.gov/pubmed/31302788
http://dx.doi.org/10.1007/s10029-019-01996-8
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author van den Hil, L. C. L.
van Steensel, S.
Schreinemacher, M. H. F.
Bouvy, N. D.
author_facet van den Hil, L. C. L.
van Steensel, S.
Schreinemacher, M. H. F.
Bouvy, N. D.
author_sort van den Hil, L. C. L.
collection PubMed
description PURPOSE: To provide an overview of the available literature on prevention of incisional hernias after stoma reversal, with the use of prophylactic meshes. METHODS: A 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. RESULTS: A 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 21 months. 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 < 0.001, I(2) = 0%, CI 0–91.40%). No differences in surgical site infections were detected between the groups. CONCLUSIONS: The use of a prophylactic mesh seems to reduce the risk on incisional hernias after stoma reversal and therefore mesh reinforcement should be considered after stoma reversal. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s10029-019-01996-8) contains supplementary material, which is available to authorized users.
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spelling pubmed-66610312019-08-07 Prophylactic mesh placement to avoid incisional hernias after stoma reversal: a systematic review and meta-analysis van den Hil, L. C. L. van Steensel, S. Schreinemacher, M. H. F. Bouvy, N. D. Hernia Review PURPOSE: To provide an overview of the available literature on prevention of incisional hernias after stoma reversal, with the use of prophylactic meshes. METHODS: A 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. RESULTS: A 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 21 months. 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 < 0.001, I(2) = 0%, CI 0–91.40%). No differences in surgical site infections were detected between the groups. CONCLUSIONS: The use of a prophylactic mesh seems to reduce the risk on incisional hernias after stoma reversal and therefore mesh reinforcement should be considered after stoma reversal. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s10029-019-01996-8) contains supplementary material, which is available to authorized users. Springer Paris 2019-07-13 2019 /pmc/articles/PMC6661031/ /pubmed/31302788 http://dx.doi.org/10.1007/s10029-019-01996-8 Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Review
van den Hil, L. C. L.
van Steensel, S.
Schreinemacher, M. H. F.
Bouvy, N. D.
Prophylactic mesh placement to avoid incisional hernias after stoma reversal: a systematic review and meta-analysis
title Prophylactic mesh placement to avoid incisional hernias after stoma reversal: a systematic review and meta-analysis
title_full Prophylactic mesh placement to avoid incisional hernias after stoma reversal: a systematic review and meta-analysis
title_fullStr Prophylactic mesh placement to avoid incisional hernias after stoma reversal: a systematic review and meta-analysis
title_full_unstemmed Prophylactic mesh placement to avoid incisional hernias after stoma reversal: a systematic review and meta-analysis
title_short Prophylactic mesh placement to avoid incisional hernias after stoma reversal: a systematic review and meta-analysis
title_sort prophylactic mesh placement to avoid incisional hernias after stoma reversal: a systematic review and meta-analysis
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6661031/
https://www.ncbi.nlm.nih.gov/pubmed/31302788
http://dx.doi.org/10.1007/s10029-019-01996-8
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