الفهرس 
G.I.T StomasOnly 14 pages are availabe for public view
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Abstract
Colorectal cancer remains the third most common cause of cancer death in both sexes in industrialized countries. the incidence of colorectal cancer is considered a marker of cancer transition, with rapid societal and economic advances resulting in its increase.
Surgery is often the main treatment for early-stage colon cancers. The type of surgery used depends on the stage of the cancer, where it is in the colon, and the goal of the surgery.
The choice of treatment for colorectal cancer can depend on several factors, including the patient’s health, the size of the tumor, and its location. Surgery is the most common treatment option, and the type of surgery used, again, depends on variables such as the location of the cancer and the existence and extent of metastasis.
Lymph node status is considered as the strongest pathologic predictor of patient outcome for what concerns an accurate cancer staging and it represents a quality indicator for cancer care. Sufficient lymph node staging (TNM) is really essential to determine prognosis and to plan further treatment. It may be important to remove and examine an adequate number of lymph nodes because a more extensive nodal resection has been associated with higher survival rate and lower recurrences.
Long-term permanent stoma rates are reported in 18-25% of patients. Anastomotic leakage is a major risk factor for apermanent stoma. The possibility that a patient’s treatment may culminate in a permanent stoma, even if not initially planned, should be discussed ahead of rectal cancer surgery. Most previous research in this area has focused on factors that predict non-reversal of defunctioning stomas.
The study is aimed to evaluate the effect of putting a mesh around the stomal opening in preventing of reducing the complications as prolapse or occurrence of parastomal hernia in cases of parmenant colostomy.
This is a prospective randomized controlled cohort study, was carried out at the Meoufyia University Hospital, Department of General Surgery, on 104 Patients divided into 2 groups; (group A): assigned to do permanent colostomy without putting a mesh, (group B): assigned to do colostomy ”permanent” with putting a mesh around the stomal opening.
The main results of the study revealed that there was non-significant difference between both groups of the study regarding Age, Sex, family history of colonic cancer, tumor size, location of the tumor, the presence of ascites, the specimen length, stage of the tumor, intensive care unit admission while there was an increase in occurrence of complications ”prolapse and parastomal hernia” in cases where the mesh didn’t put.
from our study we can conclude that the use of mesh during ostomies performance for cancer can prevent many of its complications especially prolapse and occurrence of parastomal hernia.
Based on our results we recommend the use of mesh during performance of ostomies for cancer to prevent its complications especially prolapse and occurrence of parastomal hernia.