Prophylactic mesh augmentation reduces incisional hernia incidence in emergency laparotomy closure

Prophylactic mesh augmentation in emergency laparotomy closure was evaluated through a meta-analysis of randomized controlled trials. After reviewing 33 studies, four were included in the analysis, involving 464 patients. The results showed a significant decrease in incisional hernia incidence when mesh reinforcement was used (OR 0.18; 95% CI 0.07-0.44; p < 0.001). Despite the risk of seroma, prophylactic mesh augmentation was deemed safe and could be considered for emergency laparotomy closure. Further long-term studies are necessary to assess outcomes.