Comparing the effectiveness of prophylactic strategies for parastomal hernia prevention: a network meta-analysis.

ABSTRACT:

Background

Parastomal hernia (PSH), a common ostomy complication, significantly impairs patient quality of life. Various prophylactic strategies, including surgical (mesh reinforcement) and non-surgical (abdominal wall strengthening exercises, AWSE) interventions, have been proposed, but their comparative effectiveness is unclear. This network meta-analysis primarily assessed PSH incidence.

Methods

Following PRISMA guidelines, we conducted a systematic review and network meta-analysis. Searches in PubMed, Embase and Web of Science identified randomised controlled trials (RCTs) and observational studies comparing prophylactic PSH prevention strategies. Data on PSH incidence were extracted. Network meta-analysis estimated odds ratios (ORs) and 95% confidence intervals (CIs). E

SUBMITTER: Martin-Arevalo J 

PROVIDER: S-EPMC12464107 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature