12 Serra-Aracil et al used a combination of clinical and CT endpoints in colorectal cancer patients but the data failed to reach statistical significance when comparing mesh with no mesh in preventing parastomal hernias on CT. 13 In two of the RCTs there were varied indications for stoma formation 12,18 and one trial compared herniation in ileostomy and colostomies. 12 The aim of this study was to radiologically evaluate the mechanical defects at the stoma site in patients who underwent a permanent colostomy with or without mesh at the index operation for colorectal cancer.
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Prophylactic mesh placement of permanent stomas at index operation for colorectal cancer.
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We also found that the transverse diameter and volume of the hernia sac in those with mesh tended to be smaller, a result that failed to reach significance.