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.

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

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

Copyright: The Regional Health Technology Assessment Centre (HTA-centrum), Region Vastra Gotaland