Prophylactic Mesh Fails to Halt Long-Term Parastomal Hernias

In a comprehensive review of eight randomized trials with 537 patients, the long-term efficacy of prophylactic mesh during end colostomy creation was debunked. Contrary to prior expectations, the incidence of parastomal hernia showed no significant reduction, challenging the strategy’s effectiveness. Both parastomal hernia repair rates and mortality remained comparable between mesh and non-mesh groups, with some caution on result reliability due to trial heterogeneity.