Use of biologic mesh at ostomy takedown to prevent incisional hernia: A case series

Int J Surg Case Rep. 2017:41:107-109. doi: 10.1016/j.ijscr.2017.10.002. Epub 2017 Oct 6.


Introduction: Incisional hernias are a relatively common occurrence after ostomy takedown with a incidence of 30-35%. The use of biologic mesh offers a means to bolster the stoma incision site with a lower risk of infection than synthetic mesh.

Methods: This study represents a retrospective chart review of six patients who underwent stoma takedown and had biologic mesh placed in the retrorectus position during repair from March 2015 until March 2016.

Results: There has been a zero-rate of hernia occurrence for the six patients who underwent stoma takedown. No incisional hernias were noted on physical exam with follow up ranging from 11 to 25 months.

Conclusion: We conclude that placement of biologic mesh is a safe and effective way of preventing incisional hernias at stoma sites.

Keywords: Biologic mesh; Hernia prophylaxis; Incisional hernia; Ostomy takedown; Parastomal hernia; Stoma reversal.