الفهرس 
Anatomy of Anterior Abdominal WallOnly 14 pages are availabe for public view
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Abstract
Stomal site incisional hernia is often an underestimated complication following ileostomy closure, with rates about 40%. This was because there were no sufficient previous studies undergone to find a definite solution for it.
Therefore, the aim of this study was to evaluate the role of prophylactic mesh reinforcement (using a mesh manufactured from approximately equal parts of absorbable poliglecaprone monofilament fiber and non-absorbable polypropylene monofilament fiber) during ileostomy closure in prevention of stomal site incisional hernia without increasing the incidence of wound complications.
This was a randomized controlled study done on 30 patients, 15 had mesh reinforcement during ileostomy closure (group A) and the other 15 were control patients (group B).
The patients have undergone mesh reinforcement by placing the mesh over the rectus sheath after closing it by sutures and have been followed up for 6 - 24 months postoperatively for incidence of incisional hernia and wound infection.
The results have shown that 2 of the patients who have undergone mesh reinforcement had incisional hernia (13.3%) while 7 of the other group had incisional hernia (46.7%) and 4 of the patients who have undergone mesh reinforcement had wound infection (26.6%) while 3 of the other group had wound infection (20%). Results of both groups were insignificantly different.
Accordingly, we have concluded that the study shows significant result of incisional hernia reduction with mesh reinforcement during the first six months after closure. However, in the total follow-up period of the two years prophylactic mesh repair did not significantly reduce post-ileostomy closure incidence of incisional hernia, without significantly increasing the incidence of wound infection.