Publications by authors named "H Wiik"
Article Synopsis
- The study examines the effectiveness and safety of funnel-shaped synthetic mesh in preventing parastomal hernias among patients undergoing surgery for rectal adenocarcinoma.
- Conducted as a randomized trial across multiple hospitals in Finland and Sweden, it involved 143 patients, with a focus on comparing outcomes between those receiving the mesh and those who did not.
- Results revealed a significant reduction in the incidence of parastomal hernias at 12 months: 10% in the mesh group versus 37% in the control group, indicating the mesh's potential benefit in hernia prevention.
Article Synopsis
- The Preloop trial was a multicenter randomized controlled trial assessing the safety and effectiveness of synthetic mesh versus biological mesh in preventing incisional hernias after loop ileostomy closure for rectal cancer.
- The study involved 102 patients, with outcomes measured for surgical site infections, hernia incidence at 10 months, and additional complications within 30 days and over 5 years.
- Results showed no significant difference in hernia occurrence or complications between the two types of mesh, suggesting that synthetic mesh is as safe and effective as biological mesh for this procedure.
Background: Incisional hernia is a frequent complication after loop-ileostomy closure, rationalizing hernia prevention. Biological meshes have been widely used in contaminated surgical sites instead of synthetic meshes in fear of mesh related complications. However, previous studies on meshes does not support this practice.
View Article and Find Full Text PDFBackground: Parastomal hernias (PSHs) are common, troubling the lives of people with permanent colostomy. In previous studies, retromuscular keyhole mesh placement has been the most-used technique for PSH prevention but results have been controversial. Additionally, surgical treatment of PSHs is associated with a high rate of complications and recurrences.
View Article and Find Full Text PDFPurpose: The purpose of this paper is to describe persuasive speech and discourses in multi-professional organizational change facilitation meetings at a hospital through rhetorical discourse analysis. Previous research has often considered organizational change to be a managerial issue, with other employees given the rather passive role of implementators. This study takes an alternative approach in assuming that organizational change could benefit by involving those who are most familiar with the tasks to be changed.
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