Examinando por Materia "Prophylactic Surgical Procedures"

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    Effectiveness of prophylactic mesh use in primary stoma formation to prevent parastomal hernias in adult patients with digestive pathologies
    (Universidad Privada Norbert Wiener, 2018-12-02) Pacora Bazalar, Manuel Alberto; Torres Merino, Carmen Luisa; Calsin Pacompia, Wilmer
    Objective: To analyze and systematize the evidence on the effectiveness of the use of prophylactic meshes in the primary formation of the stoma in the prevention of parastomal hernias in adult patients with digestive pathologies. Methods: The type of research was quantitative, and the study design was a systematic review. The population was made up of 20 articles and the sample was made up of 10 articles; The GRADE method was used for the assessment. Results: Of 100% of the articles, positive results were obtained for the use of prophylactic meshes in the primary formation of the stoma, since the incidence rate of parastomal hernia was lower in the mesh group (from 1.4% to 47.3%). than in the group without mesh (5.1% to 88.2%). Conclusions: 10 of the 10 articles concluded that the use of prophylactic meshes in the primary formation of the stoma prevents the appearance of parastomal hernias.