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Healing of Stoma Orifices: Multicenter, Prospective, Randomized Study Comparing Calcium Alginate Mesh and Polyvidone Iodine Mesh

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Abstract

Background

The aim of this multicenter, randomized, prospective study was to reveal a difference in terms of a guided healing period in the case of stoma orifices after reestablishing digestive continuity by comparing an alginate mesh with a polyvidone iodine mesh.

Methods

Between April 2004 and September 2005, a total of 73 patients were randomized into two groups: A (alginate mesh) and M (polyvidone iodine mesh). The groups were comparable for demographic data, indications for and the type of stoma, and perioperative data. The main evaluation criterion was percentage healing at the 28th postoperative day (D28); and the secondary criteria were healing time, rate of infectious complications, and number of dressing changes applied.

Results

The mean percentage healing at D28 was 91% in group A and 87% in group M (p = 0.49). The mean healing time was 31 days in group A and 32 days in group M (p = 0.80). One parietal abscess (3%) occurred in group A (p = 0.37). The mean number of meshes used was 13 ± 5 in group A and 18 ± 8 in group M (p < 0.005).

Conclusion

The use of an alginate mesh for guided healing of stoma orifices after reestablishing digestive continuity allows effective healing within a normal period of time with a lower number of meshes.

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Authors and Affiliations

  1. Digestive Surgery Department, University Hospital, 4 rue Larrey, Angers, 49000, France

    Olivier Brehant, Patrick Pessaux, Fabrizio Panaro & Jean Pierre Arnaud

  2. Digestive Surgery Department, University Hospital, Place Ricordeau, Nantes, France

    Nicolas Regenet & Paul Antoine Lehur

  3. Digestive Surgery Department, Hospital Centre, Mulhouse, France

    Jean Jacques Tuech & Vincent Tassetti

  4. Digestive Surgery Department, University Hospital, Besancon, France

    Georges Mantion

Authors
  1. Olivier Brehant
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  2. Patrick Pessaux
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  3. Nicolas Regenet
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  4. Jean Jacques Tuech
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  5. Fabrizio Panaro
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  6. Georges Mantion
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  7. Vincent Tassetti
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  8. Paul Antoine Lehur
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  9. Jean Pierre Arnaud
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Corresponding author

Correspondence to Jean Pierre Arnaud.

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Brehant, O., Pessaux, P., Regenet, N. et al. Healing of Stoma Orifices: Multicenter, Prospective, Randomized Study Comparing Calcium Alginate Mesh and Polyvidone Iodine Mesh. World J Surg 33, 1795–1801 (2009). https://doi.org/10.1007/s00268-009-0106-3

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  • DOI: https://doi.org/10.1007/s00268-009-0106-3

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