Cochrane · systematic review · CD009487
Lateral pararectal versus transrectal stoma placement for prevention of parastomal herniation
Hardt, J, Meerpohl, JJ, Metzendorf, MI, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
5
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 40%Low 2 · 40%Moderate 1 · 20%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Show all 2 versionsLateral pararectal versus transrectal enterostomy placement for prevention of parastomal herniation
Population: people undergoing enterostomy placement for any reason
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
parastomal hernia (NRS) clinical examination, CT scan, or botha Lateral pararectal vs transrectal enterostomy placement | RR 1.22 [0.84, 1.75] | 10 studies · 864 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
parastomal hernia (RCT) clinical exam, sonography, intraoperatively, or combination, during stoma reversal Lateral pararectal vs transrectal enterostomy placement | RR 1.34 [0.4, 4.48] | 1 study · 56 participants | Low Downgraded: imprecision |
stomal prolapse clinical exam, documented on a standard pro forma Lateral pararectal vs transrectal enterostomy placement | RR 1.23 [0.39, 3.85] | 1 study · 145 participants | Very low Downgraded: risk of bias, imprecision |
ileus or stenosis clinical exam, sonography Lateral pararectal vs transrectal enterostomy placement | RR 2 [0.19, 20.9] | 1 study · 60 participants | Low Downgraded: imprecision |
skin irritation clinical exam, intraoperative exam, or both, during stoma reversal Lateral pararectal vs transrectal enterostomy placement | RR 0.67 [0.21, 2.13] | 1 study · 60 participants | Moderate Downgraded: imprecision |