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            <title xml:lang="en">European Hernia Society guidelines on prevention and treatment of parastomal hernias</title>
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                <forename type="first">S.</forename>
                <surname>Antoniou</surname>
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                <forename type="first">J.</forename>
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                <surname>Muysoms</surname>
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                <forename>Mélisande</forename>
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                <title xml:lang="en">European Hernia Society guidelines on prevention and treatment of parastomal hernias</title>
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                    <forename type="first">J.</forename>
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                    <surname>Kyle-Leinhase</surname>
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                    <forename type="first">M.</forename>
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                    <forename type="first">A.</forename>
                    <surname>Montgomery</surname>
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                  <persName>
                    <forename type="first">C.</forename>
                    <surname>Stabilini</surname>
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                <idno type="issn">1265-4906</idno>
                <idno type="eissn">1248-9204</idno>
                <title level="j">Hernia</title>
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                  <publisher>Springer Verlag</publisher>
                  <biblScope unit="volume">22</biblScope>
                  <biblScope unit="issue">1</biblScope>
                  <biblScope unit="pp">183-198</biblScope>
                  <date type="datePub">2018-02</date>
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              <idno type="doi">10.1007/s10029-017-1697-5</idno>
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                <term xml:lang="en">Treatment</term>
                <term xml:lang="en">Stoma</term>
                <term xml:lang="en">Recurrence</term>
                <term xml:lang="en">Prevention</term>
                <term xml:lang="en">Parastomal hernia</term>
                <term xml:lang="en">Ostomy</term>
              </keywords>
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              <classCode scheme="halTypology" n="ART">Journal articles</classCode>
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            <abstract xml:lang="en">
              <p>BACKGROUND:International guidelines on the prevention and treatment of parastomal hernias are lacking. The European Hernia Society therefore implemented a Clinical Practice Guideline development project.METHODS:The guidelines development group consisted of general, hernia and colorectal surgeons, a biostatistician and a biologist, from 14 European countries. These guidelines conformed to the AGREE II standards and the GRADE methodology. The databases of MEDLINE, CINAHL, CENTRAL and the gray literature through OpenGrey were searched. Quality assessment was performed using Scottish Intercollegiate Guidelines Network checklists. The guidelines were presented at the 38th European Hernia Society Congress and each key question was evaluated in a consensus voting of congress participants.RESULTS:End colostomy is associated with a higher incidence of parastomal hernia, compared to other types of stomas. Clinical examination is necessary for the diagnosis of parastomal hernia, whereas computed tomography scan or ultrasonography may be performed in cases of diagnostic uncertainty. Currently available classifications are not validated; however, we suggest the use of the European Hernia Society classification for uniform research reporting. There is insufficient evidence on the policy of watchful waiting, the route and location of stoma construction, and the size of the aperture. The use of a prophylactic synthetic non-absorbable mesh upon construction of an end colostomy is strongly recommended. No such recommendation can be made for other types of stomas at present. It is strongly recommended to avoid performing a suture repair for elective parastomal hernia. So far, there is no sufficient comparative evidence on specific techniques, open or laparoscopic surgery and specific mesh types. However, a mesh without a hole is suggested in preference to a keyhole mesh when laparoscopic repair is performed.CONCLUSION:An evidence-based approach to the diagnosis and management of parastomal hernias reveals the lack of evidence on several topics, which need to be addressed by multicenter trials. Parastomal hernia prevention using a prophylactic mesh for end colostomies reduces parastomal herniation. Clinical outcomes should be audited and adverse events must be reported.</p>
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          <orgName>RWTH Aachen University = Rheinisch-Westfälische Technische Hochschule Aachen</orgName>
          <orgName type="acronym">RWTH Aachen</orgName>
          <date type="start">1870-01-01</date>
          <desc>
            <address>
              <addrLine>RWTH Aachen –  Templergraben 55 – 52062 Aachen (Hausanschrift) – 52056 Aachen (Postanschrift) – Deutschland</addrLine>
              <country key="DE"/>
            </address>
            <ref type="url">http://www.rwth-aachen.de/</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-241766" status="VALID">
          <orgName>Canisius-Wilhelmina Hospital [Nijmegen, The Netherlands]</orgName>
          <desc>
            <address>
              <addrLine>Nijmegen</addrLine>
              <country key="NL"/>
            </address>
          </desc>
        </org>
        <org type="institution" xml:id="struct-308157" status="VALID">
          <idno type="ROR">https://ror.org/018906e22</idno>
          <orgName>Erasmus University Medical Center [Rotterdam]</orgName>
          <orgName type="acronym">Erasmus MC</orgName>
          <desc>
            <address>
              <addrLine>Rotterdam</addrLine>
              <country key="NL"/>
            </address>
            <ref type="url">http://www.erasmusmc.nl</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-98227" status="VALID">
          <idno type="ISNI">0000 0001 2296 0625</idno>
          <idno type="ROR">https://ror.org/052g8jq94</idno>
          <orgName>Universitat Autònoma de Barcelona = Autonomous University of Barcelona = Universidad Autónoma de Barcelona</orgName>
          <orgName type="acronym">UAB</orgName>
          <date type="start">1968-01-01</date>
          <desc>
            <address>
              <addrLine>UAB Campus 08193 Bellaterra Barcelona</addrLine>
              <country key="ES"/>
            </address>
            <ref type="url">https://www.uab.cat/</ref>
          </desc>
        </org>
        <org type="regroupinstitution" xml:id="struct-300068" status="VALID">
          <idno type="ROR">https://ror.org/00pg5jh14</idno>
          <orgName>Assistance publique - Hôpitaux de Paris (AP-HP)</orgName>
          <orgName type="acronym">AP-HP</orgName>
          <desc>
            <address>
              <country key="FR"/>
            </address>
          </desc>
        </org>
        <org type="institution" xml:id="struct-327452" status="VALID">
          <idno type="ISNI">0000000406263338</idno>
          <idno type="ROR">https://ror.org/0424bsv16</idno>
          <idno type="Wikidata">Q3318163</idno>
          <orgName>Universitair Ziekenhuis Leuven = University Hospital of Leuven = Hopital universitaire de Louvain</orgName>
          <orgName type="acronym">UZ Leuven</orgName>
          <desc>
            <address>
              <addrLine>Herestraat 49, 3000 Leuven</addrLine>
              <country key="BE"/>
            </address>
            <ref type="url">http://www.uzleuven.be/</ref>
          </desc>
        </org>
        <org type="regrouplaboratory" xml:id="struct-453116" status="VALID">
          <orgName>Skane University Hospital [Malmo]</orgName>
          <desc>
            <address>
              <addrLine>Inga-Maria Nilssons gata 32, 205 02 Lund</addrLine>
              <country key="SE"/>
            </address>
          </desc>
          <listRelation>
            <relation active="#struct-344927" type="direct"/>
          </listRelation>
        </org>
        <org type="regroupinstitution" xml:id="struct-361498" status="VALID">
          <idno type="ROR">https://ror.org/0275ye937</idno>
          <orgName>Centre Hospitalier Universitaire de Nîmes</orgName>
          <orgName type="acronym">CHU Nîmes</orgName>
          <desc>
            <address>
              <addrLine>4 Rue du Professeur Robert Debré, 30029 Nîmes</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">http://www.chu-nimes.fr/</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-444316" status="VALID">
          <idno type="ISNI">0000000446854917</idno>
          <idno type="ROR">https://ror.org/045ney286</idno>
          <idno type="Wikidata">Q3737020</idno>
          <orgName>Oulu University Central Hospital [Finland] = Oulun yliopistollinen keskussairaala [Suomi] = Oulun yliopistollinen sairaala [Suomi]</orgName>
          <orgName type="acronym">OUH, OYKS, OYS</orgName>
          <date type="start">1973-01-01</date>
          <desc>
            <address>
              <addrLine>Kajaanintie 50, 90220 Oulu</addrLine>
              <country key="FI"/>
            </address>
            <ref type="url">https://oys.fi/en/front-page/</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-302889" status="VALID">
          <idno type="IdRef">032054262</idno>
          <idno type="ROR">https://ror.org/0107c5v14</idno>
          <idno type="Wikidata">032054262</idno>
          <orgName>Università degli studi di Genova = University of Genoa = Université de Gênes</orgName>
          <orgName type="acronym">UniGe</orgName>
          <desc>
            <address>
              <addrLine>Via Balbi, 5 - 16126 Genova</addrLine>
              <country key="IT"/>
            </address>
            <ref type="url">https://unige.it/it</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-344927" status="VALID">
          <idno type="ROR">https://ror.org/02z31g829</idno>
          <orgName>Skane University Hospital [Lund]</orgName>
          <desc>
            <address>
              <addrLine>Getingevägen 4, 222 41 Lund</addrLine>
              <country key="SE"/>
            </address>
            <ref type="url">https://www.skane.se/sv/Webbplatser/Skanes-universitetssjukhus/Skane-University-Hospital/</ref>
          </desc>
        </org>
      </listOrg>
    </back>
  </text>
</TEI>