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Ostomy Care

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Related Experiment Video

Updated: Jun 15, 2026

Transvaginal Mesh Insertion in the Ovine Model

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

World Journal of Surgery

|February 26, 2010

Summary

A prophylactic mesh significantly reduces parastomal hernia risk after ostomy surgery. This mesh placement does not increase complication rates and is safe even in contaminated wounds.

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Area of Science:

Surgical Oncology
Gastrointestinal Surgery
Abdominal Wall Reconstruction

Background:

Parastomal hernia affects up to 50% of patients within a year of ostomy creation.
Prophylactic sublay mesh placement during ostomy surgery can mitigate parastomal hernia development.
This approach has not been shown to elevate complication rates.

Purpose of the Study:

To evaluate the efficacy of prophylactic mesh in preventing parastomal hernias.
To assess the safety and complication rates associated with mesh use in ostomy surgery.
To determine the feasibility of mesh placement in various surgical conditions, including contaminated wounds.

Main Methods:

A prospective study followed patients undergoing open laparotomy with ostomy creation between April 2003 and November 2006.
Patients were monitored for at least one year post-surgery.
Data collection focused on parastomal hernia incidence and surgical site infections.

Main Results:

A prophylactic mesh was utilized in 75 of 93 patients.
Parastomal hernia rates were 13% (8/61) with mesh versus 67% (8/12) without.
Surgical site infection rates were 8% (6/73) with mesh compared to 27% (4/15) without mesh.

Conclusions:

Prophylactic mesh placement is feasible in the majority of patients undergoing routine open ostomy surgery.
Mesh use does not increase the overall complication rate.
The prophylactic mesh can be safely employed even in cases with severely contaminated wounds.