Comparing Two Colostomy Surgery Techniques to Prevent Parastomal Hernia in Adults Aged 18 to 75 Mesenteric Molding Suturing Versus Traditional Non-molding Suturing

What this Trial Is About

Researchers are comparing two surgical techniques used during colostomy surgery to evaluate their effect on the development of parastomal hernia PSH, a common and painful complication where a hernia forms around the stoma. PSH can significantly affect quality of life and may require additional surgery. The study aims to provide high-quality evidence on whether mesenteric molding suturing, which shapes and supports the tissue around the stoma, reduces PSH incidence compared to the traditional non-molding suturing technique. Participants will be randomly assigned to one of two groups. One group will undergo colostomy surgery using the conventional non-molding suturing technique without shaping the mesentery. The other group will receive mesenteric molding suturing, where the mesentery around the stoma is shaped and sutured to strengthen support and potentially lower hernia risk. Both procedures involve selecting a stoma site within the rectus abdominis muscle and forming the stoma with a tight fit of surrounding tissues. During the study, participants will be monitored for one year after surgery to assess the incidence of parastomal hernia and other stoma-related complications. Researchers will also measure operative time, recovery of stoma function, and quality of life. Follow-ups and assessments will help determine the comparative benefits of each technique and guide future surgical practices for colostomy patients.

Comparing the Incidence of Parastomal Hernia After Mesenteric Molding Suturing and Non-molding Suturing in Colostomy Surgery