Mohan HM, Pasquali A, O'Neill B, Collins D, Winter DC, et al.
Techniques in coloproctology. Date of publication 2019 Mar 1;volume 23(3):201-206.
1. Tech Coloproctol. 2019 Mar;23(3):201-206. doi: 10.1007/s10151-019-01935-w. Epub
2019 Feb 26.
Stoma rods in abdominal surgery: a systematic review and metaanalyses.
Mohan HM(1), Pasquali A(2), O'Neill B(2), Collins D(2), Winter DC(2).
Author information:
(1)Department of Surgery, St. Vincent's University Hospital, Elm Park, Dublin 4,
Ireland. Helen.mohan@gmail.com.
(2)Department of Surgery, St. Vincent's University Hospital, Elm Park, Dublin 4,
Ireland.
BACKGROUND: Stoma rods are used traditionally to prevent retraction of loop
stomas into the abdominal cavity. However, there is very little evidence to
support or refute their use. The aim of the present systematic review and
metaanalysis was to assess the current data on stoma rods in loop stomas. The
primary outcomes were stoma necrosis and stoma retraction.
METHODS: A systematic review and metaanalyses were conducted using the preferred
reporting items for systematic reviews and metaanalysis guidelines (PRISMA). The
study protocol was registered prospectively on PROSPERO. An electronic search was
performed by two reviewers independently using predefined search strategy and
Medline. Bibliographies of selected studies were screened for additional
references. RevMan was used to generate forest plots and calculate odds ratios
and 95% confidence intervals (CIs).
RESULTS: In total, five studies were identified that met inclusion criteria,
including four randomized controlled trials. Three studies examined only
ileostomies, while one included both colostomies and ileostomies, and one only
examined colostomies. In total, 561 patients underwent a stoma with a rod
compared to 443 without. There was a higher rate of dermatitis (rod 29.86% vs no
rod 16% OR 2.65; 95% CI 1.79-3.93) and stoma necrosis (rod 7% vs no rod 1.15% OR
5.58; 95% CI 1.85-16.84) in the rod group, but there was no significant
difference in stoma retraction (rod 2.28% vs no rod 3.45%; OR 0.7; 95% CI
0.32-1.54).
CONCLUSIONS: Stoma rods do not reduce the incidence of stoma retraction and
instead lead to increased rates of dermatitis and stoma necrosis.
DOI: 10.1007/s10151-019-01935-w
PMID: 30806842 [Indexed for MEDLINE]
