1 December 2022
End colostomy with or without mesh to prevent a parastomal hernia (GRECCAR 7). A prospective, randomized, double blinded, multicentre trial.
Prudhomme, M, Rullier E, Lakkis Z, Cotte E, Panis Y et al.
Ann Surg 2021; 274: 928-934.
There was no difference in the rates of stomal hernia after 24 months in this study that finally included 135 procedures: 31 per cent versus 28 per cent without mesh. There were no mesh infections.
Comment: It is interesting that there have been numerous RCTs, but with very variable results. This makes it difficult to conduct a systematic analysis, and to provide definitive recommendations.
1 January 2022Read paper
Part of the charitable activity of the Society, BJS Academy is an online educational resource for current and future surgeons.
The Academy is comprised of five distinct sections: Continuing surgical education, Young BJS, Cutting edge, Scientific surgery and Surgical news. Although the majority of this is open access, additional content is available to BJS subscribers and strategic partners.