Publications by authors named "Christoffer Odensten"
Article Synopsis
- The study aimed to evaluate how effective prophylactic mesh is for preventing parastomal hernias in end colostomy patients, ultimately contributing to European clinical guidelines.* -
- The meta-analysis included 12 randomized trials, showing that while quality of life (QoL) was unaffected by the use of mesh, it significantly reduced the incidence of parastomal hernias (risk reduction OR = 0.33).* -
- No significant differences were found in surgery requirements or severe complications associated with mesh use, suggesting that while the mesh helps reduce hernia rates, it doesn’t impact QoL or lead to more serious surgical issues.*
Article Synopsis
- A new guideline has been developed for preventing parastomal hernias, prompted by evidence supporting the use of prophylactic mesh and advancements in guideline methods.
- An interdisciplinary panel, including surgeons, nurses, and patients, employed a systematic review and meta-analysis to create trustworthy recommendations based on GRADE standards.
- The guideline recommends using prophylactic mesh for patients with end colostomies, particularly those at high risk, while acknowledging moderate evidence certainty for parastomal hernia prevention and identifying areas for future research.
Background And Aims: Parastomal hernia (PSH) is a common complication after the creation of a colostomy, with a prevalence of approximately 50%. Despite the high frequency, little is known how PSH affects the cost of colostomy care.The hypothesis in this study was that PSH increases the cost of colostomy care compared with not having a PSH.
View Article and Find Full Text PDFObjective: The primary objective was to compare rates of parastomal hernia (PSH) 3 years after stoma construction with prophylactic mesh or no mesh. A secondary objective was to compare complications requiring reintervention within 3 years.
Background: Recent studies have shown that a prophylactic mesh does not reduce the rate of PSH contrary to older studies.
Background: There are several surgical options for the management of pilonidal disease, including midline and off midline closure, but prospective studies are rare. The study hypothesis was that Karydakis flap surgery would result in shorter wound healing and fewer recurrences than excision of pilonidal sinus and suture in the midline.
Methods: A randomized clinical trial was conducted in two hospitals in Sweden between 2006 and 2015 to compare excision and suture in the midline with Karydakis flap surgery.
Objective: The aim of this study was to determine whether parastomal hernia (PSH) rate can be reduced by using synthetic mesh in the sublay position when constructing permanent end colostomy. The secondary aim was to investigate possible side-effects of the mesh.
Background: Prevention of PSH is important as it often causes discomfort and leakage from stoma dressing.