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Juan José Segura-Sampedro
@SeguraJuanJ
, 3 tweets, 3 min read Read on Twitter
There is a "Practice Changing UpDate" in the Surgical Ostomy page at @UpToDate. A new recommendation against prophylactic mesh for permanent stoma which should be taken into account with caution.

This new advice is based on the last @AnnalsofSurgery paper, #STOMAMESH
We should consider that the #STOMAMESH paper discards a specific technique. The prophylactic effect of a mesh placed in the sublay position (between the rectus muscle and the posterior rectus sheath and peritoneum), which has been disproven. But...

dx.doi.org/10.1097%2FSLA.…
We shall not disregard other techniques, as Sugarbaker's approach proposed by @ManuelLpezCano1 et al., which could be the procedure of choice given the low recurrence rates compared to others.
doi.org/10.1097/SLA.00…

New RCTs should focus Sugarbaker's modified approachs 🤔
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