Diseases of the colon and rectum
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Randomized Controlled Trial
Prospective, Randomized Study on the Use of a Prosthetic Mesh for Prevention of Parastomal Hernia of Permanent Colostomy.
Prophylactic placement of a mesh has been suggested to prevent parastomal hernia, but evidence to support this approach is scarce. ⋯ Prophylactic laparoscopic placement of intraperitoneal onlay mesh does not significantly reduce the overall risk of radiologically detected parastomal hernia after laparoscopic abdominoperineal resection. However, prophylactic mesh repair was associated with significantly lower risk of clinically detected parastomal hernia.