title: Prevention of parastomal hernia with a preperitoneal polypropelene mesh.
abstract: OBJECTIVE
  To show our results with the use of a polypropylene mesh at the stoma site, as prophylaxis of parastomal hernias in patients with rectal cancer when a terminal colostomy is performed.
  
  
  METHODS
  From January 2010 until March 2014, 45 consecutive patients with rectal cancer, underwent surgical treatment with the need of a terminal colostomy. A prophylactic mesh was placed in a sublay position at the stoma site in all cases. We analyze Demographics, technical issues and effectiveness of the procedure, as well as subsequent complications.
  
  
  RESULTS
  A prophylactic mesh was placed in 45 patients, 35 male and 10 females, mean age of 66.2 (47-88) and Body Mass Index 29.19 (20.4-40.6). A total of 7 middle rectal carcinoma, 36 low rectal carcinoma, one rectal melanoma and one squamous cell anal carcinoma were electively treated with identical protocol. Abdominoperineal resection was performed in 38 patients, and low anterior resection with terminal colostomy in 7. An open approach was elected in 39 patients and laparoscopy in 6, with 2 conversions to open surgery. Medium follow up was 22 months (2.1-53). Overall, 3 parastomal hernias (6.66%) were found, one of which was a radiological finding with no clinical significance. No complications related to the mesh or the colostomy were found.
  
  
  CONCLUSIONS
  The use of a prophylactic polypropylene mesh placed in a sublay position at the stoma site is a safe and feasible technique. It lowers the incidence of parastomal hernias with no increased morbidity.
authors: Unidad de Cirugía Colorrectal, Unidad de Gestión Clínica de Cirugía General y del Aparato Digestivo, Hospitales Universitarios Virgen Macarena y Virgen del Rocío, Sevilla, España.
authors: Javier
authors: J
authors: Valdés-Hernández
authors: Unidad de Cirugía Colorrectal, Unidad de Gestión Clínica de Cirugía General y del Aparato Digestivo, Hospitales Universitarios Virgen Macarena y Virgen del Rocío, Sevilla, España. Electronic address: juanantoniomd@gmail.com.
authors: Juan Antonio
authors: JA
authors: Díaz Milanés
authors: Unidad de Cirugía Colorrectal, Unidad de Gestión Clínica de Cirugía General y del Aparato Digestivo, Hospitales Universitarios Virgen Macarena y Virgen del Rocío, Sevilla, España.
authors: Luis Cristóbal
authors: LC
authors: Capitán Morales
authors: Unidad de Cirugía Colorrectal, Unidad de Gestión Clínica de Cirugía General y del Aparato Digestivo, Hospitales Universitarios Virgen Macarena y Virgen del Rocío, Sevilla, España.
authors: Francisco Javier
authors: FJ
authors: Del Río la Fuente
authors: Unidad de Cirugía Colorrectal, Unidad de Gestión Clínica de Cirugía General y del Aparato Digestivo, Hospitales Universitarios Virgen Macarena y Virgen del Rocío, Sevilla, España.
authors: Cristina
authors: C
authors: Torres Arcos
authors: Unidad de Cirugía Colorrectal, Unidad de Gestión Clínica de Cirugía General y del Aparato Digestivo, Hospitales Universitarios Virgen Macarena y Virgen del Rocío, Sevilla, España.
authors: Jesús
authors: J
authors: Cañete Gómez
authors: Unidad de Cirugía Colorrectal, Unidad de Gestión Clínica de Cirugía General y del Aparato Digestivo, Hospitales Universitarios Virgen Macarena y Virgen del Rocío, Sevilla, España.
authors: Fernando
authors: F
authors: Oliva Mompeán
authors: Unidad de Cirugía Colorrectal, Unidad de Gestión Clínica de Cirugía General y del Aparato Digestivo, Hospitales Universitarios Virgen Macarena y Virgen del Rocío, Sevilla, España.
authors: Javier
authors: J
authors: Padillo Ruiz
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003125:Colostomy / Q000009:adverse effects*; D005260:Female; D006555:Hernia, Ventral / Q000209:etiology* / Q000517:prevention & control*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010537:Peritoneum; D011126:Polypropylenes; D012004:Rectal Neoplasms / Q000601:surgery; D013526:Surgical Mesh
chemical_list: D011126:Polypropylenes
keywords: Colostomy; Colostomía; Hernia; Malla; Mesh; Paraestomal; Parastomal; Profilaxis; Prophylaxis