![]() ![]() The aim of this study was to determine whether parastomal hernia (PSH) rate can be reduced by using synthetic mesh in the sublay position when constructing permanent end colostomy. Overall stoma-related complications did not differ between the two techniques. Intracutaneous suturing of an ileostomy is associated with more peristomal leakage than transcutaneous suturing. There were no significant differences in quality of life or costs between the groups. ![]() Skin irritation rates were high (78♲ versus 72♲ per cent), but did not differ significantly between the groups (risk difference 6♱ (95 per cent c.i. Leakage rates were higher in the IC than in the TC group (52♴ versus 41♴ per cent respectively risk difference 11♰ (95 per cent c.i. Secondary outcomes were stoma-related quality of life and costs of stoma-related materials and reinterventions.īetween April 2011 and February 2016, 339 patients were randomized to the IC (170) or TC (169) group. Patients scheduled to receive an ileostomy for any reason were randomized to intracutaneous or transcutaneous suturing (IC and TC groups respectively). This randomized trial was undertaken in 11 hospitals in the Netherlands. The study aimed to compare the effect of intracutaneous versus transcutaneous suturing of ileostomies on faecal leakage and quality of life. It is hypothesized that intracutaneous sutures result in a tighter adherence of the peristomal skin to the stoma plate to prevent faecal leakage. The stoma is commonly secured to the skin using transcutaneous sutures. Ileostomy construction is a common procedure but can be associated with morbidity. This randomized trial confirmed a high prevalence of stoma related complications but could not identify an impact of surgical technique or identify modifiable risk factors for stoma related complications. There were no statistically significant differences between the groups regarding parastomal hernia rate and no risk factors could be identified. The risk ratio (95% CI) for stoma complications was 0.93 (0.73 1.2) between cruciate vs circular incision groups, and 1.02 (0.78 1.34) between cruciate vs mesh groups. A total of 127 patients (63%) developed some type of stoma complication within one year after surgery. Data on stoma related complications were available for analysis in 201 patients. Patient demographics were similar in all three groups. Stoma complications were assessed by a surgeon and stoma care nurses within one year postoperatively.Ģ09 patients were randomized. Patients were randomized to one of three techniques for stoma construction cruciate fascial incision, circular incision or prophylactic mesh. The aim of this paper was to report and analyse the impact of the three surgical techniques in a randomized controlled trial Stoma‐Const on stoma related complications as well as identifying risk factors and patient reported stoma function as a planned secondary analysis.Ī randomized, multicenter trial where all patients scheduled to receive an end colostomy were invited to participate. The impact of construction techniques on the development of stoma complications is partly undiscovered. PROSPERO registration number: CRD42022303133 There were differences in the incidence of ileostomy and colostomy complications in the selected studies, with a low incidence of ileostomy prolapse. In contrast, the incidence of parastomal fistula, stenosis, hemorrhage, and enterocutaneous fistula was higher with colostomy than with ileostomy. The incidence of skin irritation, parastomal hernia, dehydration, pneumonia, and urinary tract infections was higher with ileostomy than with colostomy. Apart from the four complications listed above, the general data analysis showed differences in incidence between the two groups. Meta-analysis and TSA showed that the incidence of ileostomy prolapse was lower than that of colostomy prolapse, and the difference was statistically significant. No statistically significant differences were observed with complications other than stoma prolapse. The basic indicators, such as stoma prolapse, leak, wound infection, ileus, and a series of other indicators, were compared. This study aimed to compare the incidence of postoperative complications between ileostomy and colostomy procedures.ĭata analysis was conducted on 30 studies, and meta-analysis and trial sequential analysis (TSA) were performed on five studies. Preventive colostomy is required for colorectal surgery, and the incidence of complications associated with ileostomy and colostomy remains controversial. ![]()
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