Prevention of XXXX Using Pre-peritoneal Mesh - Long Term Outcome of a Prospective Study.

@entity1 @entity7502 @entity547
BACKGROUND: @entity547 is a frequent complication after stoma formation. The objective of this prospective study was to find long-term outcome of prophylactic mesh placement in the pre-peritoneal space in order to prevent @entity547 . METHODS: @entity1 undergoing elective formation of permanent stoma were included in the study. A @entity7502 mesh was placed in the pre-peritoneal space without any anchoring stitches and bowel was taken out through a central circular hole made in the mesh. These @entity1 were followed up for 5 years-by clinical examination and CT scan when needed. RESULTS: A total of 42 @entity1 were included in the study. These @entity1 were followed up for a median period of 60 months (range 32-100 months). Twelve @entity1 died before the 5-year follow up due to causes unrelated to stoma. As two @entity1 were unable to be contacted, 28 @entity1 remained in the long-term follow up. Three cases of @entity547 were detected after 5 years. None of these @entity1 required repairing of the @entity547 . However, a previous study conducted 3 years ago found 4 cases of @entity547 that was treated by resiting the stomas. Therefore the total number of @entity547 in our series is 7 (incidence 25%). CONCLUSIONS: Putting a pre-peritoneal @entity7502 mesh is an easy, quick and inexpensive method, and easy to learn. The outcome is better than creating stomas without mesh, but further studies are needed to explore potential benefits of different types of mesh and their methods of positioning and anchoring.
