title: Outcomes using a bioprosthetic mesh at the time of permanent stoma creation in preventing a parastomal hernia: a value analysis.
abstract: OBJECTIVE
  A retrospective review of the medical records of all patients who had a prosthetic placed at the time of stoma creation for the prevention of a parastomal hernia was performed. The purpose of this study was to evaluate the safety, efficacy, and cost-effectiveness of bioprosthetics.
  
  
  RESULTS
  A bioprosthetic was used in 16 patients to prevent the occurrence of a parastomal hernia. The median follow-up was 38 months. There were no mesh-related complications, and no parastomal hernias occurred. On value analysis, to be cost-effective, the percentage of patients who would have subsequently needed surgical repair of a parastomal hernia would have to be in excess of 39% or the bioprosthetic would have to cost less than $2,267 to $4,312.
  
  
  CONCLUSIONS
  These data show the safety and efficacy of using a bioprosthetic at the time of permanent stoma creation in preventing a parastomal hernia and defines the parameters for this approach to be cost-effective.
authors.affiliation: Department of Surgery, West Penn Allegheny Health System, Pittsburgh, PA 15212, USA.
authors.forename: Nicole A
authors.initials: NA
authors.lastname: Figel
authors.forename: Jack W
authors.initials: JW
authors.lastname: Rostas
authors.forename: C Neal
authors.initials: CN
authors.lastname: Ellis
mesh_terms: D000328:Adult; D000368:Aged; D001705:Bioprosthesis / Q000191:economics; D003362:Cost-Benefit Analysis; D004766:Enterostomy / Q000191:economics / Q000295:instrumentation* / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006555:Hernia, Ventral / Q000191:economics / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000191:economics / Q000517:prevention & control*; D012189:Retrospective Studies; D013526:Surgical Mesh / Q000191:economics; D054047:Surgical Stomas; D016896:Treatment Outcome; D014481:United States