Does prophylactic mesh placement in elective, midline laparotomy reduce the incidence of incisional hernia? A systematic review and meta-analysis.
Zachary M. Borab,Sameer Shakir,Michael A. Lanni,Michael G. Tecce,John K MacDonald,William W. Hope,John P. Fischer +6 more
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TLDR
Prophylactic mesh placement is associated with an 85% postoperative incisional hernia risk reduction when compared to primary suture closure in at‐risk patients undergoing elective, midline laparotomy closure.About:
This article is published in Surgery.The article was published on 2017-04-01 and is currently open access. It has received 106 citations till now. The article focuses on the topics: Incisional hernia & Surgical mesh.read more
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Meta-analysis of randomised trials comparing the use of prophylactic mesh to standard midline closure in the reduction of incisional herniae.
TL;DR: An updated meta-analysis found a reduction in the occurrence of IH after a laparotomy when a prophylactic mesh is used versus a suture repair, and there appears to be sufficient evidence to recommend the use of a pro PHM during laparotom in high-risk patients.
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National health disparities in incisional hernia repair outcomes: An analysis of the Healthcare Cost and Utilization Project National Inpatient Sample (HCUP-NIS) 2012-2014.
TL;DR: In this article, the authors analyzed national health disparities unique to surgical incisional hernia repair procedures, and found that nonelective repair was associated with worse outcomes, including in-hospital mortality, surgical complications, and extended duration of stay.
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Randomized Clinical Trial of Mesh versus Sutured Wound Closure After Open Abdominal Aortic Aneurysm Surgery
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Prophylactic Mesh Reinforcement versus Sutured Closure to Prevent Incisional Hernias after Open Abdominal Aortic Aneurysm Repair via Midline Laparotomy: A Systematic Review and Meta-Analysis.
TL;DR: Prophylactic mesh reinforcement of the abdominal wall after open abdominal aortic aneurysm repair via midline laparotomy significantly reduces the risk of incisional hernia, and no significant difference in re-operation for incisionAL hernia was found.
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Prophylactic placement of permanent synthetic mesh at the time of ostomy closure prevents formation of incisional hernias
Jeremy A. Warren,Lucas R. Beffa,Alfredo M. Carbonell,Jennifer Cull,Brent Sinopoli,Joseph A. Ewing,Cedrek L. McFadden,Jay A. Crockett,William S. Cobb +8 more
TL;DR: Retromuscular placement of permanent synthetic mesh at the time of enterostomy reversal is effective in preventing development of incisional hernia without increased risk of surgical site occurrence or surgical site infection.
References
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Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement
TL;DR: Moher et al. as mentioned in this paper introduce PRISMA, an update of the QUOROM guidelines for reporting systematic reviews and meta-analyses, which is used in this paper.
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Measuring inconsistency in meta-analyses
TL;DR: A new quantity is developed, I 2, which the authors believe gives a better measure of the consistency between trials in a meta-analysis, which is susceptible to the number of trials included in the meta- analysis.
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Bias in meta-analysis detected by a simple, graphical test
TL;DR: Funnel plots, plots of the trials' effect estimates against sample size, are skewed and asymmetrical in the presence of publication bias and other biases Funnel plot asymmetry, measured by regression analysis, predicts discordance of results when meta-analyses are compared with single large trials.
Journal ArticleDOI
Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement
TL;DR: A structured summary is provided including, as applicable, background, objectives, data sources, study eligibility criteria, participants, interventions, study appraisal and synthesis methods, results, limitations, conclusions and implications of key findings.
Journal ArticleDOI
The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials
Julian P T Higgins,Douglas G. Altman,Peter C Gøtzsche,Peter Jüni,David Moher,Andrew D Oxman,Jelena Savović,Kenneth F. Schulz,Laura Weeks,Jonathan A C Sterne +9 more
TL;DR: The Cochrane Collaboration’s tool for assessing risk of bias aims to make the process clearer and more accurate.
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