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Use of biologic mesh at ostomy takedown to prevent incisional hernia: A case series
Sepehr Lalezari1, Michael L Caparelli2, Shyam Allamaneni2
1Johns Hopkins Medicine, 4940 Eastern Ave, Baltimore, MD, 21224, United States.
Introduction:
Incisional hernias are a relatively common occurrence after ostomy takedown with a incidence of 30-35%. The use of biologic mesh offers a means to bolster the stoma incision site with a lower risk of infection than synthetic mesh.
Methods:
This study represents a retrospective chart review of six patients who underwent stoma takedown and had biologic mesh placed in the retrorectus position during repair from March 2015 until March 2016.
Results:
There has been a zero-rate of hernia occurrence for the six patients who underwent stoma takedown. No incisional hernias were noted on physical exam with follow up ranging from 11 to 25 months.
Conclusion:
We conclude that placement of biologic mesh is a safe and effective way of preventing incisional hernias at stoma sites.
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01:24Ostomy Care
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies: