1. Prophylactic Effect of Simultaneous Placement of Mesh on Incidence of Parastomal Hernia After Miles’ Surgical Resection of Colorectal Cancer: A Prospective Study
- Author
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Xu Gao, Xiao-Bin Li, Li-Xin Sun, Zuo-Jun Liu, Hui Qi, Ruo-Fan Li, and Guang-Jian Tian
- Subjects
Surgical resection ,medicine.medical_specialty ,Colorectal cancer ,business.industry ,Rectal Neoplasms ,Incidence (epidemiology) ,Incidence ,Surgical Stomas ,Surgical Mesh ,medicine.disease ,Parastomal hernia ,Hernia, Ventral ,Surgery ,Postoperative Complications ,Colostomy ,medicine ,Humans ,Incisional Hernia ,Prospective Studies ,business ,Prospective cohort study ,Mile - Abstract
Background: To assess the prophylactic effect of simultaneous placement of mesh and incidence of parastomal hernia (PSH) after abdominoperineal resection of rectal cancer. Methods: This study included real world data of 56 surgically resected colorectal cancer (CRC) patients who were consecutively assigned to 2 groups: control (no mesh, n=32) and experimental (received mesh, n=24). An artificial patch was placed under the tunica vaginalis of rectus abdominis for patients in experimental group whereas the control group received routine sigmoidostomy. The median follow-up time was >20 months. Difference in hazards function was analyzed by cox regression analysis and results were expressed as hazard ratio (HR) and 95% confidence interval (CI). A P-value < 0.05 was considered as significant. Results: Post-operative incidence rate of PSH was lower in experimental (41.7 %) than in control group (71.9 %; P=0.045). PSH postoperative time in experimental group was significantly delayed than control group (48 months vs 10 months; PConclusions: Prophylactic mesh placement significantly prolonged post-operative time to recurrence and incidence rate of PSH. The incidence of recurrence of H2 (severe PSH) requiring secondary surgical repair was reduced.
- Published
- 2022
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