Hernia : the journal of hernias and abdominal wall surgery
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Review Meta Analysis
Systematic review and meta-analysis of prophylactic mesh placement for prevention of incisional hernia following midline laparotomy.
Incisional hernia is a common long-term complication after laparotomy. This study investigated whether prophylactic mesh reinforcement of laparotomy reduced the rate of incisional hernia, with emphasis on trial design and quality. ⋯ Mesh reinforcement of laparotomy significantly reduced the rate of incisional hernia in high-risk patients. However, poor assessment of secondary outcomes limits applicability; routine placement in all patients cannot yet be recommended. More evidence regarding the rates of adverse events, cost-benefits and quality of life are needed.