E ISSN: 2583-049X

International Journal of Advanced Multidisciplinary Research and Studies

Volume 3, Issue 2, 2023

Compare Outcomes in Patients Undergoing Ileostomy Reversal with Prophylactic Mesh Placement Vs without Mesh Placement

Author(s): Dr. Kashif Ullah Khan, Dr. Muhammad Naeem Khattak, Dr. Jamshid Khan, Dr. Sajid Hussain, Dr. Aamir khan, Dr. Umar Ali Nazir, Dr. Amir Hamza Khan



To compare outcomes in patients undergoing ileostomy reversal with prophylactic mesh placement vs without mesh placement.

Study Design

Randomized Control Trial.


Department of General Surgery, Khyber Teaching Hospital, Peshawar.


16-10-2021 – 16-10-2022.


This study was conducted on 60 patients divided in two groups. Patients were divided in two groups to either mesh reinforcement of the stoma closure site (Group A) or closure without mesh (Group B). Patients aged 18 years to 60 Years undergoing elective ileostomy and patients eligible irrespective of the operative approach that had originally been used to construct the stoma or the planned operative technique for stoma closure were included. Patients having multiple surgeries in same admission, patients having BMI<18.5 kg/m2 and diabetic patients were excluded. Data was collected into Microsoft excel sheet, analyzed through SPSS version 23.0 and presented in the form of charts and tables.


The mean age in group A (closure with mesh) was 37.30±12.99 years and in group B (closure without mesh) the mean age was 38.90±14.22 years. The incidence of incisional hernia in group A was 2 (6.7%) and 7 (23.3%) in group B. The difference was statistically significant. (P = 0.002). The incidence of wound infection in group A was 3 (10%) and 10 (33.3%) in group B. The difference was statistically significant. (P = 0.028)


The incidence of incisional hernia formation is relatively less in patients undergoing prophylactic mesh placement following stoma reversal as compared to those patients in which mesh was not applied.

Keywords: Ileostomy Reversal, Prophylactic Mesh, Incisional Hernia

Pages: 692-695

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