Surgeons’ opinions and concerns regarding prophylactic mesh placement when conducting a permanent ileo- and colostomy A survey among 172 surgeons in Germany, Switzerland, and Austria
Christoph Paasch, Egan Leonidovich Kalmykov, Ralph Lorenz, Nele Neveling, Rene Mantke · 2024
Read Surgeons’ opinions and concerns regarding prophylactic mesh placement when conducting a permanent ileo- and colostomy A survey among 172 surgeons in Germany, Switzerland, and Austria by Christoph Paasch, Egan Leonidovich Kalmykov, Ralph Lorenz, Nele Neveling, Rene Mantke (2024) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-11638169.txt.
Description
Christoph Paasch and co-authors published a 2024 survey on whether surgeons place a preventive mesh when creating a permanent stoma. A stoma is an opening that diverts the bowel through the belly wall. Hernias often form beside it later. Guidelines from 2017 advised sewing in a mesh at the first operation to prevent that hernia, but long-term trial data have stirred debate.
The team surveyed surgeons in Germany, Switzerland, and Austria in 2023. A total of 172 replied. Most worked in primary care hospitals, and many had twenty to thirty years of experience. About two-thirds knew the guideline. Yet forty percent said they never place a preventive mesh at an elective permanent colostomy, and another quarter rarely do. Only a handful always do. The paper discusses the concerns behind that reluctance, from cost to fear of mesh complications. It shows a wide gap between guidance and practice.
Catalog record
| CREATOR | Christoph Paasch, Egan Leonidovich Kalmykov, Ralph Lorenz, Nele Neveling, Rene Mantke |
|---|---|
| YEAR | 2024 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 24 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |