Using Prophylactic Prolene Mesh to Reduce the Incidence of Incisional Hernia at the Site of Stoma Closure

Abstract

bdominal wall hernias are common and are a significant cause of morbidity. Stomas are commonly constructed following colorectal surgery to protect distal anastomosis or when sepsis prevents primary anastomosis. Incisional hernias at stoma sites are not an infrequent problem, occurring in up to 30% of cases. This study was done to detect the feasibility of application of prolene mesh at the site of stoma closure in reducing the rate of post stomal incisional. The surgical technique was done by Closure of the defect by interrupted Prolene 1 sutures is done, ample wash with betadine and hydrogen peroxide.then Prolene mesh is applied over the closed fascio-muscular defect to cover 5 cm all around the defect. Fixation of the mesh to the underlying tissue with prolene 2/0 interrupted sutures. Ample wash of the defect with normal saline is then done. Application of a 18F suction drain, then closure of subcutaneous tissue.