At the 1st World Conference on Abdominal Wall Hernia Surgery held in Milan between April 25 and 29, workers at Bispebjerg Hospital in Copenhagen, Denmark, presented short-term outcome results on the prevention of parastomal hernia following emergency stoma formation.
Their study was a prospective cohort investigation that included a historical reference group of 117 patients. This control group had an emergency stoma performed without supporting surgical mesh in the two-year period prior to July 2012. The Danish workers’ own group included 109 patients who received TIGR Matrix resorbable surgical mesh retromuscularly at the stoma site between July 2012 and July 2014.
Although surgery was often conducted in a severely contaminated field (the operative field was dirty or infected in 48% percent of the procedures), the Danish workers concluded that TIGR matrix was safe to use for parastomal hernia prevention. The postoperative 30-day rate of complications showed no significant differences between the two groups, for example. Long-term studies are nevertheless warranted to fully assess the place for TIGR Matrix in stoma formation under emergency surgery.
Short time outcome after emergency stoma formation using a synthetic slowly resorbable mesh for prevention of parastomal hernia
A. Lykke, L.N. Jorgensen, T. Mynster. Digestive Disease Center, Bispebjerg Hospital, Copenhagen