Primary prevention of peristomial hernias via parietal prostheses: A randomized, multicentric study (GRECCAR 7 trial)
- Prudhomme, Michel
- Alline, Mathias
- Chauvat, John
- Fabbro-Perray, Pascale
- Ripoche, Jérémie
- Bertrand, Martin Marie
- (GRECCAR), French Research Group of Rectal Cancer Surgery
DOIAbstract
International audienceBACKGROUND:Peristomal hernia (PH) is a common complication of colostomy. It often leads to a decrease in the patient's quality of life. Surgical procedures for PH are difficult and present high failure and morbidity rates. This randomized, double blind, multicentre trial was conducted to determine the benefits and risks of mesh reinforcement vs conventional stoma formation in preventing PH.METHODS:200 patients undergoing a permanent end colostomy are randomized into two groups. In the mesh group an end-colostomy is created inserting a lightweight (<50g/m(2)) monofilament mesh in a sublay location, and compared to a group with traditional stoma creation. The presence or absence of a PH is determined by another practitio...
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