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Updated: Jun 15, 2026
Transvaginal Mesh Insertion in the Ovine Model
Published on: July 27, 2017
Experiences with a prophylactic mesh in 93 consecutive ostomies
Arthur Jänes1, Yucel Cengiz, Leif A Israelsson
1Department of Surgery, Sundsvalls sjukhus, 851 86, Sundsvall, Sweden. arthur.janes@lvn.se
Background:
Parastomal hernia may be present in half of patients after one year. A prophylactic low-weight prosthetic mesh in a sublay position at the index operation reduces the risk of parastomal hernia, without increasing the rate of complications.
Material:
Between April 2003 and November 2006 all patients with an ostomy created at an open laparotomy were followed for at least one year.
Results:
A prophylactic mesh was used in 75 of 93 patients. In 9 a prophylactic mesh could not be placed due to scarring after previous surgery. In 9 a mesh was omitted after surgeon's decision. In 19 patients a mesh was used in severely contaminated wounds. With a mesh 6 of 73 (8%) patients developed a surgical site infection and without a mesh 4 of 15 (27%). With a mesh parastomal hernia was present in 8 of 61 (13%) patients and without a mesh in 8 of 12 (67%).
Conclusions:
Creating a stoma in routine open surgery a prophylactic mesh can be placed in most patients. A mesh does not increase the rate of complications and can be used in severely contaminated wounds.
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