Prophylactic mesh reinforcement during elective abdominal surgeries significantly decreased the incidence of incisional hernias (IH) and the need for reoperations. In a meta-analysis of 15 randomized controlled trials involving 2,233 patients, mesh use demonstrated a notable reduction of IH at various follow-up points: 12 months (risk ratio 0.35), 24 months (0.28), and 36 months (0.62). However, this technique was linked to higher risks of seroma and wound infections, especially with the sublay approach.
Review by Abbas AW, Abo-Elsoad MF (…) Elghadban H et 6 al. in Hernia
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