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A semi‐Markov model comparing the lifetime cost‐effectiveness of mesh prophylaxis to prevent parastomal hernia in patients undergoing end colostomy creation for rectal cancer

Parastomal hernia (PSH) is a common problem following colostomy. Using prophylactic mesh during end colostomy creation may reduce PSH incidence, but concerns exist regarding the optimal type of mesh, potential long‐term complications, and cost‐effectiveness of its use. We evaluated the cost‐effectiveness of mesh prophylaxis to prevent PSH in patients undergoing end colostomy creation for rectal cancer.