Table 1. Randomized controlled trials of prophylactic mesh placement.
Source | Type of stoma | Type of mesh | Placement technique | No. of patients | Median follow-up | Primary endpoint | PH rate | Mesh-related complications |
---|---|---|---|---|---|---|---|---|
Janes et al. [10] | Permanent end colostomy | Partially absorbable (Vypro) | Sublay | Mesh, 27; control, 27 | 14 months (95% CI, 12–17) | Clinical PH | At 12 months: | None reported |
Mesh, 0/16 (0%); control; 8/18 (44.4%) | ||||||||
Serra-Aracil et al. [17] | Permanent end colostomy | Partially absorbable (Ultrapro) | Sublay | Mesh, 27; control, 27 | 29 mo (range, 13–49 mo) | Clinical PH | At 29 months (median) | None reported |
Radiographic PH | Clinical PH | |||||||
Mesh, 4/27 (14.8%); control; 11/27 (40.7%) | ||||||||
Radiographic PH | ||||||||
Mesh: 6/27 (22.2%); control; 12/27 (44.4%) | ||||||||
Hammond et al. [43] | Loop stoma | Xenogenic collagen | Sublay | Implant, 10; control, 10 | 6.5 mo | Clinical PH | At 12 months: | None reported |
Implant: 0/10 (0%); control; 3/10 (33.3%) | ||||||||
Lambrecht et al. [44] | Permanent end colostomy | Polypropylene | Sublay | Mesh, 32; control, 26 | 40 mo (range, 3–87 mo) | Clinical PH | At 24 months: | None reported |
Mesh, 2/32 (6.3%); control; 12/26 (46.2%) | ||||||||
Vierimaa et al. [46] | Permanent end colostomy | Partially absorbable (Dyna-Mesh IPOM) | Intraperitoneal Onlay | Mesh, 35; control, 35 | 12 mo | Clinical PH | At 12 months: | None reported |
Radiographic PH | Clinical PH | |||||||
Mesh, 5/35 (14.3%); control; 12/32 (32.3%) | ||||||||
Radiographic PH | ||||||||
Mesh, 18/35 (51.4%); control; 17/32 (53.1%) |
CI, confidence interval; PH, parastomal hernia.