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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.

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