This thesis focuses on the prevention of parastomal hernias, a common and burdensome complication in patients with a stoma. A parastomal hernia can cause pain, difficulties with stoma care, and a reduced quality of life, and often requires additional surgery. The main aim of this research was to assess whether the risk of developing a parastomal hernia can be reduced by using a synthetic mesh at the time of stoma creation. The results demonstrate that preventive reinforcement of the abdominal wall with a mesh lowers the incidence of parastomal hernias, without leading to relevant additional complications. Furthermore, the findings highlight the importance of careful patient selection and a standardized surgical approach to achieve optimal outcomes. Overall, this research contributes to improved care for patients with a stoma and supports a preventive strategy as an integral part of everyday clinical practice.
Thijs Brandsma (1978) is a colorectal and hernia surgeon. After completing his surgical training in Nijmegen, he undertook fellowships in hernia and colorectal surgery in Edinburgh and Amsterdam. Since 2018, he has worked at the Heelkunde Friesland Groep. He initiated the Abdominal Wall Center Noord Nederland and conducted PhD research on the prevention of parastomal hernias.