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Preventing parastom...
Preventing parastomal hernia with a prosthetic mesh
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- Jänes, Arthur, 1970- (författare)
- Umeå universitet,Kirurgi
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- Cengiz, Yucel (författare)
- Department of Surgery, Sundsvalls sjukhus, Sundsvall
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- Israelsson, Leif A (författare)
- Umeå universitet,Kirurgi
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(creator_code:org_t)
- American Medical Association (AMA), 2004
- 2004
- Engelska.
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Ingår i: Archives of surgery (Chicago. 1960). - : American Medical Association (AMA). - 0004-0010 .- 1538-3644. ; 139:12, s. 1356-1358
- Relaterad länk:
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https://jamanetwork....
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visa fler...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- HYPOTHESIS: Parastomal hernia is a common complication following colostomy. The lowest recurrence rate has been produced when repair is with a prosthetic mesh. This study evaluated the effect on stoma complications of using a mesh during the primary operation. DESIGN: Randomized clinical study. METHODS: Patients undergoing permanent colostomy were randomized to have either a conventional stoma or the addition of a mesh placed in a sublay position. The mesh used was a large-pore lightweight mesh with a reduced polypropylene content and a high proportion of absorbable material. RESULTS: Twenty-seven patients had a conventional stoma, and in 27 patients the mesh was used. No infection, fistula formation, or pain occurred (observation time, 12-38 months). At the 12-month follow-up, parastomal hernia was present in 13 of 26 patients without a mesh and in 1 of 21 patients in whom the mesh was used. CONCLUSIONS: A lightweight mesh with a reduced polypropylene content and a high proportion of absorbable material placed in a sublay position at the stoma site is not associated with complications and significantly reduces the rate of parastomal hernia.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Nyckelord
- Surgery
- Kirurgi
- Surgery
- kirurgi
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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