Approximately 1/3 of patients with a permanent end-colostomy will experience a hernia around the stoma. In some cases these problems result in the need of surgical correction and the risk of recurrent hernia after operative intervention is regrettably high. Preliminary investigations suggest a role for primary mesh placement to prevent parastomal hernia. The use of a mesh as a preventive measure is a safe procedure. This study will focus on the effect of primary mesh placement (two different operative procedures are used) compared to patients without mesh placement.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
198
StomaMesh (Precut heavyweight polypropylene mesh) Vypro Mesh (lightweight Prolene and vicryl mesh)
Copenhagen University Hospital, Hvidovre
Hvidovre, Copebhagen, Denmark
Copenhagen University Hospital, Gentofte
Hellerup, Copenhagen, Denmark
Parastomal hernia verified by CT-scan
Time frame: one year after surgery, reassessed after 2, 3 and 5 years
Clinically detected parastomal hernia
Time frame: one year after surgery, reassessed after 2, 3 and 5 years
Pain
Time frame: one year after surgery, reassessed after 2, 3 and 5 years
Disease specific and general health questionnaire
Time frame: one year after surgery, reassessed after 2, 3 and 5 years
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