{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T02:16:30Z","timestamp":1768875390570,"version":"3.49.0"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T00:00:00Z","timestamp":1697414400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T00:00:00Z","timestamp":1697414400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Medizinische Hochschule Brandenburg CAMPUS gGmbH"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Hernia"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>The European Hernia Society guidelines of parastomal hernias, published in 2017, strongly recommend prophylactic synthetic non-absorbable mesh upon the construction of a permanent end colostomy to reduce the incidence of parastomal hernias. This study aims to evaluate the implementation of the guidelines in Germany.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This is a retrospective multicentric analysis conducted in December 2022 at the University Hospital Brandenburg an der Havel. Anonymous data on rectal resection without sphincter preservation in the period 2010\u20132020 were extracted from the German nationwide hospital discharge data set. Individuals with a hernia and\u2009&lt;\u200918\u00a0years old were excluded. Another exclusion criterion was a performed colectomy or proctocolectomy with an ileoanal pouch and placement of an absorbable mesh. The primary endpoint was the annual rate of prophylactic parastomal mesh placement following rectal resection without sphincter preservation in Germany. Cases reporting both non-absorbable mesh placement and rectal resection without sphincter preservation were considered prophylactic mesh insertions.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>A total of 41,697 patients received a rectal resection without sphincter preservation and without non-absorbable mesh placement. Among these individuals, 27,089 were male and 14,608 were female. The rate of reoperations (3.1%) and the length of hospital stay (25.3\u00a0days\u2009\u00b1\u200919.32) remained almost constant during these 10\u00a0years. The rate of prophylactic mesh placement was increasing from 0.2% (<jats:italic>n<\/jats:italic>\u2009=\u20098) in 2010 to 6.4% (<jats:italic>n<\/jats:italic>\u2009=\u2009198) in 2020.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Currently, only the minority of patients who have undergone rectal resection without sphincter preservation receive prophylactic mesh insertion.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s10029-023-02887-9","type":"journal-article","created":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T14:02:06Z","timestamp":1697464926000},"page":"9-15","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["How often is prophylactic parastomal mesh placement performed after rectal resection without sphincter preservation? An analysis of German nationwide hospital discharge data among 41,697 patients"],"prefix":"10.1007","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3104-8288","authenticated-orcid":false,"given":"C.","family":"Paasch","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Kobelt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"L\u00fcnse","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Heisler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Lorenz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Hunger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Mantke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,10,16]]},"reference":[{"issue":"7","key":"2887_CR1","doi-asserted-by":"publisher","first-page":"784","DOI":"10.1002\/bjs.4220","volume":"90","author":"PW Carne","year":"2003","unstructured":"Carne PW, Robertson GM, Frizelle FA (2003) Parastomal hernia. Br J Surg 90(7):784\u2013793. https:\/\/doi.org\/10.1002\/bjs.4220","journal-title":"Br J Surg"},{"issue":"2","key":"2887_CR2","doi-asserted-by":"publisher","first-page":"486","DOI":"10.1007\/s11605-021-05174-z","volume":"26","author":"T McKechnie","year":"2022","unstructured":"McKechnie T, Lee J, Lee Y, Doumouras A, Amin N, Hong D, Eskicioglu C (2022) Prophylactic mesh for prevention of parastomal hernia following end colostomy: an updated systematic review and meta-analysis of randomized controlled trials. J Gastrointest Surg 26(2):486\u2013502. https:\/\/doi.org\/10.1007\/s11605-021-05174-z","journal-title":"J Gastrointest Surg"},{"issue":"1","key":"2887_CR3","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1007\/s10029-017-1697-5","volume":"22","author":"SA Antoniou","year":"2018","unstructured":"Antoniou SA, Agresta F, Garcia Alamino JM, Berger D, Berrevoet F, Brandsma HT, Bury K, Conze J, Cuccurullo D, Dietz UA, Fortelny RH, Frei-Lanter C, Hansson B, Helgstrand F, Hotouras A, Janes A, Kroese LF, Lambrecht JR, Kyle-Leinhase I, Lopez-Cano M, Maggiori L, Mandala V, Miserez M, Montgomery A, Morales-Conde S, Prudhomme M, Rautio T, Smart N, Smietanski M, Szczepkowski M, Stabilini C, Muysoms FE (2018) European Hernia Society guidelines on prevention and treatment of parastomal hernias. Hernia 22(1):183\u2013198. https:\/\/doi.org\/10.1007\/s10029-017-1697-5","journal-title":"Hernia"},{"issue":"16","key":"2887_CR4","doi-asserted-by":"publisher","first-page":"1530","DOI":"10.1056\/NEJMsa1410846","volume":"372","author":"CL Chen","year":"2015","unstructured":"Chen CL, Lin GA, Bardach NS, Clay TH, Boscardin WJ, Gelb AW, Maze M, Gropper MA, Dudley RA (2015) Preoperative medical testing in medicare patients undergoing cataract surgery. N Engl J Med 372(16):1530\u20131538. https:\/\/doi.org\/10.1056\/NEJMsa1410846","journal-title":"N Engl J Med"},{"key":"2887_CR5","doi-asserted-by":"publisher","first-page":"23s","DOI":"10.1183\/09031936.0.00054503","volume":"39","author":"MR Partridge","year":"2003","unstructured":"Partridge MR (2003) Translating research into practice: how are guidelines implemented? Eur Respir J Suppl 39:23s\u201329s. https:\/\/doi.org\/10.1183\/09031936.0.00054503","journal-title":"Eur Respir J Suppl"},{"issue":"4","key":"2887_CR6","doi-asserted-by":"publisher","first-page":"825","DOI":"10.1007\/s10029-019-01921-z","volume":"23","author":"MI Aslam","year":"2019","unstructured":"Aslam MI, Rubio-Perez I, Smart NJ, Singh B (2019) A survey on practices for parastomal hernia prevention and repair among ESCP surgeons. Hernia 23(4):825\u2013828. https:\/\/doi.org\/10.1007\/s10029-019-01921-z","journal-title":"Hernia"},{"key":"2887_CR7","unstructured":"Deutsche Gesellschaft f\u00fcr Gastroenterologie V-uS, (DGVS) (2019) S3-Leitlinie Kolorektales Karzinom. AWMF-Registernummer: 021\/007OL"},{"issue":"3","key":"2887_CR8","doi-asserted-by":"publisher","first-page":"274","DOI":"10.1016\/j.amjsurg.2012.05.001","volume":"204","author":"JG Han","year":"2012","unstructured":"Han JG, Wang ZJ, Wei GH, Gao ZG, Yang Y, Zhao BC (2012) Randomized clinical trial of conventional versus cylindrical abdominoperineal resection for locally advanced lower rectal cancer. Am J Surg 204(3):274\u2013282. https:\/\/doi.org\/10.1016\/j.amjsurg.2012.05.001","journal-title":"Am J Surg"},{"issue":"1","key":"2887_CR9","doi-asserted-by":"publisher","first-page":"231","DOI":"10.1186\/s12893-021-01228-w","volume":"21","author":"E Makarainen-Uhlback","year":"2021","unstructured":"Makarainen-Uhlback E, Vironen J, Vaarala M, Nordstrom P, Valikoski A, Kossi J, Falenius V, Kechagias A, Mattila A, Ohtonen P, Scheinin T, Rautio T (2021) Keyhole versus Sugarbaker techniques in parastomal hernia repair following ileal conduit urinary diversion: a retrospective nationwide cohort study. BMC Surg 21(1):231. https:\/\/doi.org\/10.1186\/s12893-021-01228-w","journal-title":"BMC Surg"},{"issue":"7","key":"2887_CR10","doi-asserted-by":"publisher","first-page":"CD008905","DOI":"10.1002\/14651858.CD008905.pub3","volume":"7","author":"HG Jones","year":"2018","unstructured":"Jones HG, Rees M, Aboumarzouk OM, Brown J, Cragg J, Billings P, Carter B, Chandran P (2018) Prosthetic mesh placement for the prevention of parastomal herniation. Cochrane Database Syst Rev 7(7):CD008905. https:\/\/doi.org\/10.1002\/14651858.CD008905.pub3","journal-title":"Cochrane Database Syst Rev"},{"issue":"3","key":"2887_CR11","doi-asserted-by":"publisher","first-page":"e440","DOI":"10.1097\/sla.0000000000005801","volume":"278","author":"HT Brandsma","year":"2023","unstructured":"Brandsma HT, Hansson BM, Aufenacker TJ, de Jong N, Engelenburg KCV, Mahabier C, Donders R, Steenvoorde P, de Vries Reilingh TS, Leendert van Westreenen H, Wiezer MJ, de Wilt JHW, Rovers M, Rosman C (2023) Prophylactic mesh placement during formation of an end-colostomy: long-term randomized controlled trial on effectiveness and safety. Ann Surg 278(3):e440\u2013e446. https:\/\/doi.org\/10.1097\/sla.0000000000005801","journal-title":"Ann Surg"},{"issue":"3","key":"2887_CR12","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1097\/SLA.0000000000002542","volume":"269","author":"C Odensten","year":"2019","unstructured":"Odensten C, Strigard K, Rutegard J, Dahlberg M, Stahle U, Gunnarsson U, Nasvall P (2019) Use of prophylactic mesh when creating a colostomy does not prevent parastomal hernia: a randomized controlled trial-STOMAMESH. Ann Surg 269(3):427\u2013431. https:\/\/doi.org\/10.1097\/SLA.0000000000002542","journal-title":"Ann Surg"},{"issue":"9","key":"2887_CR13","doi-asserted-by":"publisher","first-page":"2007","DOI":"10.1007\/s00384-021-03924-8","volume":"36","author":"SM Sahebally","year":"2021","unstructured":"Sahebally SM, Lim TZ, Azmir AA, Lu CT, Doudle M, Naik A, Nolan G, Papen MV (2021) Prophylactic mesh placement at index permanent end colostomy creation to prevent parastomal hernia-an updated meta-analysis. Int J Colorectal Dis 36(9):2007\u20132016. https:\/\/doi.org\/10.1007\/s00384-021-03924-8","journal-title":"Int J Colorectal Dis"},{"issue":"11","key":"2887_CR14","doi-asserted-by":"publisher","first-page":"2821","DOI":"10.1111\/codi.15849","volume":"23","author":"S Mohiuddin","year":"2021","unstructured":"Mohiuddin S, Hollingworth W, Rajaretnam N, Reeves BC, Smart NJ (2021) Use of prophylactic mesh during initial stoma creation to prevent parastomal herniation: a systematic review and meta-analysis of randomised controlled trials. Colorectal Dis 23(11):2821\u20132833. https:\/\/doi.org\/10.1111\/codi.15849","journal-title":"Colorectal Dis"},{"issue":"2","key":"2887_CR15","doi-asserted-by":"publisher","first-page":"517","DOI":"10.1007\/s10029-022-02580-3","volume":"26","author":"S T\u00e4ckstr\u00f6m","year":"2022","unstructured":"T\u00e4ckstr\u00f6m S, Chabok A, Smedh K, Nikberg M (2022) Use of prophylactic stoma mesh is a risk factor for developing rectus abdominis muscle atrophy. Hernia 26(2):517\u2013523. https:\/\/doi.org\/10.1007\/s10029-022-02580-3","journal-title":"Hernia"},{"issue":"5","key":"2887_CR16","doi-asserted-by":"publisher","first-page":"550","DOI":"10.1111\/medu.13320","volume":"51","author":"S Rayner","year":"2017","unstructured":"Rayner S, Marlow G, Leslie SJ (2017) YouTube: a solution to increased dissemination of guidelines? Med Educ 51(5):550\u2013551. https:\/\/doi.org\/10.1111\/medu.13320","journal-title":"Med Educ"},{"issue":"6","key":"2887_CR17","doi-asserted-by":"publisher","first-page":"820","DOI":"10.1111\/bju.13802","volume":"119","author":"S Loeb","year":"2017","unstructured":"Loeb S, Roupret M, Van Oort I, N\u2019Dow J, van Gurp M, Bloemberg J, Darraugh J, Ribal MJ (2017) Novel use of Twitter to disseminate and evaluate adherence to clinical guidelines by the European Association of Urology. BJU Int 119(6):820\u2013822. https:\/\/doi.org\/10.1111\/bju.13802","journal-title":"BJU Int"}],"container-title":["Hernia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10029-023-02887-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10029-023-02887-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10029-023-02887-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,23]],"date-time":"2024-02-23T12:07:17Z","timestamp":1708690037000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10029-023-02887-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,16]]},"references-count":17,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,2]]}},"alternative-id":["2887"],"URL":"https:\/\/doi.org\/10.1007\/s10029-023-02887-9","relation":{},"ISSN":["1248-9204"],"issn-type":[{"value":"1248-9204","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,16]]},"assertion":[{"value":"17 July 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 September 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 October 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors CP, EK, SL, SH, RL, RH, and RM declare that they have no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"No ethical approval was needed. The anonymous data were extracted from the German nationwide hospital discharge data set (diagnosis-related groups-statistics).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was not required due to the anonymous data set.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}