Long-term parastomal hernia occurrence rate following Stapled Mesh stomA Reinforcement Technique Article Swipe
YOU?
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· 2021
· Open Access
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· DOI: https://doi.org/10.4103/ijawhs.ijawhs_51_20
PURPOSE: Our initial publication on Stapled Mesh stomA Reinforcement Technique (SMART) for the prevention of parastomal hernias (PSH) demonstrated promising results. The aim of this study is to evaluate the long-term PSH occurrence rate with SMART and its associated complications and to radiologically measure the progression of trephine diameters. MATERIALS AND METHODS: All SMART cases from November 2013 to July 2016 were reviewed. Demographics, peri-operative details, and long-term mesh-related complications were collected. Serial computed tomography (CT) scans during follow-up were used to identify PSH and measure the progression of axial and sagittal trephine diameters and trephine area. RESULTS: 15 patients (M:F = 10:5) underwent an elective stoma formation with SMART. Nine died during the study period. Two patients died before any CT scan with no clinical evidence of PSH. All except one of the remaining 13 patients developed radiological PSH. There were no long-term mesh-related complications. Only one patient required the relocation of stoma due to the incarceration of small bowel in the PSH in an emergency setting. The median follow-up was 28 months (3–77 months). CONCLUSION: Prophylactic mesh placement by SMART did not prevent the occurrence of PSH in the long-term despite only a minority of patients required surgical intervention for PSH.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.4103/ijawhs.ijawhs_51_20
- OA Status
- diamond
- References
- 25
- Related Works
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- OpenAlex ID
- https://openalex.org/W3171597894
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3171597894Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.4103/ijawhs.ijawhs_51_20Digital Object Identifier
- Title
-
Long-term parastomal hernia occurrence rate following Stapled Mesh stomA Reinforcement TechniqueWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2021Year of publication
- Publication date
-
2021-04-01Full publication date if available
- Authors
-
Zi Qin Ng, Patrick Tan, Jih Huei Tan, Mary TheophilusList of authors in order
- Landing page
-
https://doi.org/10.4103/ijawhs.ijawhs_51_20Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.4103/ijawhs.ijawhs_51_20Direct OA link when available
- Concepts
-
Medicine, Trephine, Stoma (medicine), Surgery, Radiological weapon, Sagittal plane, RadiologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
0Total citation count in OpenAlex
- References (count)
-
25Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.with | 34, 108, 123 |
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| abstract_inverted_index.10:5) | 102 |
| abstract_inverted_index.SMART | 35, 53, 181 |
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| abstract_inverted_index.area. | 96 |
| abstract_inverted_index.axial | 89 |
| abstract_inverted_index.bowel | 160 |
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| abstract_inverted_index.details, | 65 |
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| abstract_inverted_index.months). | 175 |
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| abstract_inverted_index.surgical | 199 |
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| cited_by_percentile_year | |
| corresponding_author_ids | https://openalex.org/A5077639041 |
| countries_distinct_count | 2 |
| institutions_distinct_count | 4 |
| corresponding_institution_ids | https://openalex.org/I2799740997 |
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| sustainable_development_goals[0].display_name | Good health and well-being |
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| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |