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Meta-Analysis of Primary Mesh Augmentation as Prophylactic Measure to Prevent Incisional Hernia.
- Source :
-
Digestive Surgery . Mar2014, Vol. 30 Issue 4-6, p401-409. 9p. 2 Diagrams, 6 Charts. - Publication Year :
- 2014
-
Abstract
- Background: Incisional hernia (IH) remains one of the most frequent postoperative complications after abdominal surgery. As a consequence, primary mesh augmentation (PMA), a technique to strengthen the abdominal wall, has been gaining popularity. This meta-analysis was conducted to evaluate the prophylactic effect of PMA on the incidence of IH compared to primary suture (PS). Methods: A meta-analysis was conducted according to the PRISMA guidelines. Randomized controlled trials (RCTs) comparing PMA and PS for closing the abdominal wall after surgery were included. Results: Out of 576 papers, 5 RCTs were selected comprising 346 patients. IH occurred significantly less in the PMA group (RR 0.25, 95% CI 0.12-0.52, I20%; p < 0.001). No difference could be observed with regard to wound infection (RR 0.86, 95% CI 0.39-1.91, I2 0%; p = 0.71) or seroma (RR 1.22, 95% CI 0.64-2.33, I2 0%; p = 0.55). A trend was observed for chronic pain in favor of the PS group (RR 5.95, 95% CI 0.74-48.03, I20%; p = 0.09). Conclusion: The use of PMA for abdominal wall closure is associated with significantly lower incidence of IH compared to PS. © 2013 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 02534886
- Volume :
- 30
- Issue :
- 4-6
- Database :
- Academic Search Index
- Journal :
- Digestive Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 94853134
- Full Text :
- https://doi.org/10.1159/000355956