End colostomy - with or without mesh reinforcement
Correa Marinez A, Bengtsson J, Eriksson M, Hjalmarsson Y, Palmqvist E, Sjögren P, Jivegård L
Record ID 32013000618
English
Authors' recommendations:
Construction of an end colostomy is sometimes necessary for rectal cancer treatment as well as for treatment of other conditions. Parastomal hernia is a common complication that in many cases is not associated with symptoms but occasionally necessitates surgical repair. It is uncertain whether construction of a colostomy with, as compared to without, mesh reinforcement reduces the frequency of reoperations. Consequences for health related quality of life, or stoma function with the use of a mesh have not been studied. Construction of a colostomy with, as compared to without, mesh reinforcement probably reduces the incidence of parastomal hernia. There are several ongoing large (200-300 patients) RCTs, expected to be completed within two years. The results of future studies may elucidate whether the use of mesh reinforcement is cost effective.
Details
Project Status:
Completed
Year Published:
2013
URL for published report:
http://www.sahlgrenska.se/upload/SU/HTA-centrum/HTA-rapporter/HTA-report%20End%20Colostomy%20incl%20app%202013-06-27%20till%20publicering.pdf
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
MeSH Terms
- Surgical Mesh
- Digestive System Surgical Procedures
- Colostomy
- Rectal Neoplasms
Contact
Organisation Name:
The Regional Health Technology Assessment Centre
Contact Address:
The Regional Health Technology Assessment Centre, Region Vastra Gotaland, HTA-centrum, Roda Straket 8, Sahlgrenska Universitetssjukhuset, 413 45 GOTHENBORG, Sweden
Contact Name:
hta-centrum@vgregion.se
Contact Email:
hta-centrum@vgregion.se
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.