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Prophylactic stoma ...
Prophylactic stoma mesh did not prevent parastomal hernias
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- Nikberg, Maziar (författare)
- Uppsala universitet,Centrum för klinisk forskning, Västerås,Vastmanlands Hosp Vasteras, Dept Surg, S-72189 Vasteras, Sweden.
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- Sverrisson, Ingvar (författare)
- Uppsala universitet,Centrum för klinisk forskning, Västerås,Vastmanlands Hosp Vasteras, Dept Surg, S-72189 Vasteras, Sweden.
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- Tsimogiannis, Konstantinos (författare)
- Vastmanlands Hosp Vasteras, Dept Surg, S-72189 Vasteras, Sweden.
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- Chabok, Abbas (författare)
- Uppsala universitet,Centrum för klinisk forskning, Västerås,Vastmanlands Hosp Vasteras, Dept Surg, S-72189 Vasteras, Sweden.
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- Smedh, Kenneth (författare)
- Uppsala universitet,Centrum för klinisk forskning, Västerås,Vastmanlands Hosp Vasteras, Dept Surg, S-72189 Vasteras, Sweden.
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(creator_code:org_t)
- 2015-06-23
- 2015
- Engelska.
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Ingår i: International Journal of Colorectal Disease. - : Springer Science and Business Media LLC. - 0179-1958 .- 1432-1262. ; 30:9, s. 1217-1222
- Relaterad länk:
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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
- Parastomal herniation is reported in up to 50 % of patients with a colostomy. A prophylactic stoma mesh has been reported to reduce parastomal hernia rates. The aim of the study was to evaluate the rate of parastomal hernias in a population-based cohort of patients, operated with and without a prophylactic mesh at two different time periods. All rectal cancer patients operated with an abdominoperineal excision or Hartmann's procedure between 1996 and 2012 were included. From 2007, a prophylactic stoma mesh was placed in the retro-muscular plane. Patients were followed prospectively with clinical and computed tomography examinations. There were no differences with regard to age, gender, pre-operative albumin levels, ASA score, body mass index (BMI), smoking or type of surgical resection between patients with (n = 71) and without a stoma mesh (n = 135). After a minimum follow-up of 1 year, 187 (91 %) of the patients were alive and available for analysis. At clinical and computed tomography examinations, exactly the same parastomal hernia rates were found in the two groups, viz, 25 and 53 %, respectively (p = 0.95 and p = 0.18). The hernia sac contained omentum or intestinal loops in 26 (81 %) versus 26 (60 %) patients with and without a mesh, respectively (p = 0.155). In the multivariate analyses, high BMI was associated with parastomal hernia formation. A prophylactic stoma mesh did not reduce the rate of clinically or computed tomography-verified parastomal hernias. High BMI was associated with an increased risk of parastomal hernia formation regardless of prophylactic stoma mesh.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Gastroenterologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)
Nyckelord
- Parastomal hernia
- Mesh
- Surgery
- Rectal cancer
- Colostomy
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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