Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/11776
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dc.contributor.authorLiu, David Shi Haoen
dc.contributor.authorBanham, Elisabethen
dc.contributor.authorYellapu, Srinivasaen
dc.date.accessioned2015-05-16T01:24:14Z
dc.date.available2015-05-16T01:24:14Z
dc.date.issued2013-09-01en
dc.identifier.citationWorld Journal of Surgery; 37(9): 2039-45en
dc.identifier.govdoc23716028en
dc.identifier.otherPUBMEDen
dc.identifier.urihttp://ahro.austin.org.au/austinjspui/handle/1/11776en
dc.description.abstractStomal site incisional hernia is a common complication following ileostomy closure. The effectiveness of prophylactic mesh placement at the time of stomal closure is unknown because of fear of mesh infection and subsequent wound complications. The present study investigated whether prophylactic mesh placement reduces the rate of incisional hernia after ileostomy closure without increasing wound complications. The study was based on retrospective review of consecutive ileostomy closures undertaken at a tertiary referral center between January 2007 and December 2011. Hernias were identified through clinical examination and computed tomography.Eighty-three cases of ileostomy closure were reviewed; 47 patients received mesh reinforcement, and 36 underwent non-mesh closure (controls). In total, 16 (19.3 %) patients developed incisional hernia, 13 (36.1 %) of which occurred in the control group; 3 (6.4 %), in the mesh group [odds ratio (OR): 8.29; 95 % confidence interval (CI) 2.14-32.08; p = 0.001]. Incisional hernia repair was performed in 3 (23 %) patients in the control group; no hernias in the mesh group required surgery. There was no significant difference in wound infection rates between mesh (2 patients, 4.3 %) and control (1 patient, 2.8 %) groups. No mesh infection was found. Multivariate analysis demonstrated that malignancy (OR: 21.93, 95 % CI 1.58-303.95; p = 0.021) and diabetes (OR: 20.98, 95 % CI 3.23-136.31; p = 0.001) independently predicted incisional herniation, while mesh reinforcement prevented hernia development (OR: 0.06, 95 % CI 0.01-0.36; p = 0.002).Mesh placement significantly reduced the incidence of incisional hernia following ileostomy closure, but without increasing complication rates. This technique should be strongly considered in patients at high risk of hernia development.en
dc.language.isoenen
dc.subject.otherAbdominal Wound Closure Techniques.instrumentationen
dc.subject.otherAgeden
dc.subject.otherFemaleen
dc.subject.otherHernia, Ventral.prevention & controlen
dc.subject.otherHumansen
dc.subject.otherIleostomyen
dc.subject.otherMaleen
dc.subject.otherMiddle Ageden
dc.subject.otherMultivariate Analysisen
dc.subject.otherPostoperative Complications.prevention & controlen
dc.subject.otherRetrospective Studiesen
dc.subject.otherRisk Factorsen
dc.subject.otherSurgical Meshen
dc.subject.otherSurgical Wound Infection.epidemiologyen
dc.titleProphylactic mesh reinforcement reduces stomal site incisional hernia after ileostomy closure.en
dc.typeJournal Articleen
dc.identifier.journaltitleWorld Journal of Surgery en
dc.identifier.affiliationDepartment of Surgery, Austin Hospital, Level 8, 145 Studley Street, Heidelberg, VIC 3084, Australiaen
dc.identifier.doi10.1007/s00268-013-2109-3en
dc.description.pages2039-45en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/23716028en
dc.type.austinJournal Articleen
item.languageiso639-1en-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.openairetypeJournal Article-
item.grantfulltextopen-
item.cerifentitytypePublications-
item.fulltextWith Fulltext-
crisitem.author.deptSurgery-
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