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A Simple Mesh During Stoma Reversal Can Lower Hernia Risk

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Prophylactic mesh at stoma reversal reduces incisional hernia without increasing early complications a systematic review and meta-analysis of randomised trials.DOI 10.1007s10029-025-03532-3

After having a temporary stoma (like an ileostomy or colostomy), many people need a second surgery to reverse it. One common problem after this second surgery is a hernia at the stoma site. A hernia is when tissue bulges through weak spots in the belly wall. It can cause discomfort and may need more surgery.

This study looked at using a protective mesh during stoma reversal to lower the chance of a hernia. Researchers reviewed data from nearly 1,000 patients in randomized trials. Some patients had the mesh placed, and others had the standard closure without mesh.

The results showed that using mesh cut the hernia risk by about 75%. That’s a big difference. The risk of infection or other early problems didn’t go up. The surgery took a little longer—about 25 minutes more—but no patients needed the mesh removed later. Some also said they felt better in daily life, with fewer hernia symptoms.

This means adding mesh during stoma reversal can be a smart move, especially for people at higher risk of hernias. It’s safe, and it helps avoid problems down the road.

If you’re planning stoma closure surgery, ask your surgeon if using mesh is right for you.

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Dr Harsh Shah - GI & HPB Oncosurgeon in Ahmeadbad
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