Prophylactic Mesh Placement for the Prevention of Incisional Hernia in High-Risk Patients After Abdominal Surgery: A Systematic Review and Meta-Analysis.
abdominal surgery
chronic wound pain
high-risk
incisional hernia
laparoscopic surgery
laparotomy
mesh placement
prophylactic mesh use
seroma
suture
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
16 Sep 2020
16 Sep 2020
Historique:
entrez:
21
9
2020
pubmed:
22
9
2020
medline:
22
9
2020
Statut:
epublish
Résumé
Background and objectives In high-risk populations, the efficacy of mesh placement in incisional hernia (IH) prevention after elective abdominal surgeries has been supported by many published studies. This meta-analysis aimed at providing comprehensive and updated clinical implications of prophylactic mesh placement (PMP) for the prevention of IH as compared to primary suture closure (PSC). Materials and methods PubMed, Science Direct, Cochrane, and Google Scholar were systematically searched until March 3, 2020, for studies comparing the efficacy of PMP to PSC in abdominal surgeries. The main outcome of interest was the incidence of IH at different follow-up durations. All statistical analyses were carried out using Review Manager version 5.3 (The Nordic Cochrane Centre, The Cochrane Collaboration, 2014) and Stata 11.0 (Stata Corporation LP, College Station, TX). The data were pooled using the random-effects model, and odds ratio (OR) and weighted mean differences (WMD) were calculated with the corresponding 95% confidence interval (CI). Results A total of 3,330 were identified initially and after duplicate removal and exclusion based on title and abstract, 26 studies comprising 3,000 patients, were included. The incidence of IH was significantly reduced for PMP at follow-up periods of one year (OR= 0.16 [0.05, 0.51]; p=0.002; I
Identifiants
pubmed: 32953367
doi: 10.7759/cureus.10491
pmc: PMC7497772
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e10491Informations de copyright
Copyright © 2020, Ahmed et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Front Surg. 2018 Feb 16;5:8
pubmed: 29503821
World J Surg. 2014 Sep;38(9):2223-30
pubmed: 24663481
Am J Surg. 2016 Oct;212(4):615-622.e1
pubmed: 27659158
Hernia. 2019 Apr;23(2):335-340
pubmed: 30701368
Surgery. 2017 Apr;161(4):1149-1163
pubmed: 28040255
Obes Surg. 2013 Oct;23(10):1571-4
pubmed: 23512444
Br J Surg. 2006 Nov;93(11):1347-50
pubmed: 17006977
Dig Surg. 2013;30(4-6):401-9
pubmed: 24217341
Cir Esp. 2018 Jan;96(1):35-40
pubmed: 29249278
Ann Surg. 2016 Apr;263(4):638-45
pubmed: 26943336
World J Surg. 1998 May;22(5):479-82; discussion 482-3
pubmed: 9564292
Hernia. 2009 Jun;13(3):267-74
pubmed: 19262985
JAMA Surg. 2019 Feb 1;154(2):109-115
pubmed: 30476940
Ann Surg. 2015 Feb;261(2):276-81
pubmed: 24983993
Surgery. 2014 Oct;156(4):902-8
pubmed: 25239343
Hernia. 2003 Sep;7(3):134-6
pubmed: 12687426
World J Surg. 2018 Jun;42(6):1687-1694
pubmed: 29159603
Langenbecks Arch Surg. 2002 Nov;387(7-8):294-7
pubmed: 12447555
World J Surg. 2019 Jul;43(7):1669-1675
pubmed: 30824961
J Am Coll Surg. 2014 May;218(5):960-8
pubmed: 24680572
Cir Esp. 2019 Jan;97(1):20-26
pubmed: 30348508
Surgery. 2016 Nov;160(5):1358-1366
pubmed: 27372521
Obes Surg. 2012 Feb;22(2):279-82
pubmed: 21809056
Br J Surg. 2010 Oct;97(10):1497-502
pubmed: 20603858
Hernia. 2015 Apr;19(2):267-71
pubmed: 24820007
J Surg Res. 2017 Mar;209:17-29
pubmed: 28032555
Lancet. 2017 Aug 5;390(10094):567-576
pubmed: 28641875
World J Surg. 2011 Jul;35(7):1651-5
pubmed: 21547421
Obes Surg. 2011 Oct;21(10):1559-63
pubmed: 20853159
Am J Surg. 2018 Sep;216(3):475-480
pubmed: 29709271