PHaLIR: prevent hernia after loop ileostomy reversal-a study protocol for a randomized controlled multicenter study.

ABSTRACT:

Background

Rectal cancer is a common cancer worldwide. Surgery for rectal cancer with low anterior resection often includes the formation of a temporary protective loop ileostomy. The temporary ostomy is later reversed in a separate operation. One complication following stoma closure is the development of a hernia at the former stoma site, and this has been reported in 7-15% of patients. The best method to avoid hernia after stoma closure is unclear. The most common closure is by suturing only, but different forms of mesh have been tried. Biological mesh has in a randomized trial halved hernia incidence after stoma reversal. Biosynthetic mesh and retromuscular mesh are currently being evaluated in ongoing studies.

Methods

The present multicenter, double-blinded, randomized,

SUBMITTER: Eklov K 

PROVIDER: S-EPMC10486037 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature