Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

Prevention of parastomal hernia using mesh in patients undergoing rectum extirpation

Research output: Contribution to journalJournal articleResearchpeer-review

  1. Analgesics use and withdrawal in people with dementia - a register-based Danish study and a systematic review

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Everolimus as adjunctive treatment in tuberous sclerosis complex-associated epilepsy in children

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Sepsis-related Organ Failure Assessment Score is a strong predictor of survival in acute-on-chronic liver failure

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Pathology is common in subsequent visits after admission for non-specific abdominal pain

    Research output: Contribution to journalJournal articleResearchpeer-review

  5. Temporal trends in length of stay and readmissions after fast-track hip and knee arthroplasty

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. One decade of rectal prolapse surgery: a national study

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Prevention of parastomal hernia in the emergency setting

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Grænser for blodtransfusion

    Research output: Contribution to journalEditorialResearchpeer-review

  4. Incisional hernias after open versus laparoscopic surgery for colonic cancer: a nationwide cohort study

    Research output: Contribution to journalJournal articleResearchpeer-review

View graph of relations

INTRODUCTION: Developing a parastomal hernia can lead to emergency surgery and cause discomfort. Placing a pro-phylactic mesh around the ostomy may potentially prevent hernias from developing. Randomised clinical trials and reviews have reported contradictory results from this prophylactic procedure with different rates of hernias and success. This descriptive cohort study aimed to investigate the rate of parastomal hernia after applying prophylactic mesh in patients undergoing surgery for rectal cancer.

METHODS: In the period from 2010 to 2016, we included 133 patients who had a permanent colostomy with prophylactic mesh placement due to rectal cancer. The patients were seen in the ostomy ambulatory at least three times annually, and bulges and hernias were registered by a trained nurse. Computed tomography was used for verification of parastomal hernia. Data were registered retrospectively from patient files.

RESULTS: After a median follow-up of 22 months, 24% of patients developed a parastomal hernia. Development of parastomal bulge without a subsequent hernia diagnosis was seen in 21%. The one-year rate of parastomal hernia was 9.7%.

CONCLUSIONS: This cohort study supports the thesis of a low short-time rate of parastomal hernia in patients who had a prophylactic mesh placed during the ostomy formation and indicates that the rate of hernia increases over time after the first post-operative year.

FUNDING: none.

TRIAL REGISTRATION: not relevant.

Original languageEnglish
JournalDanish Medical Journal
Volume66
Issue number7
ISSN1603-9629
Publication statusPublished - Jul 2019

ID: 57670340