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World Journal of Surgery

Published in:

01-09-2014

Prevention of Incisional Hernia in Midline Laparotomy with an Onlay Mesh: A Randomized Clinical Trial

Authors: A. Caro-Tarrago, C. Olona Casas, A. Jimenez Salido, E. Duque Guilera, F. Moreno Fernandez, V. Vicente Guillen

Published in: World Journal of Surgery | Issue 9/2014

Abstract

Objective

Our objective was to evaluate the prevention of incisional hernia (IH) during the postoperative period of a midline laparotomy during elective surgery.

Material and methods

A controlled, prospective, randomized, and blind study was carried out. The patients in group A (mesh) were fitted with a polypropylene mesh, to reinforce the standard abdominal wall closure. The patients in group B (non-mesh) underwent a standard abdominal wall closure and were not fitted with the mesh.

Results

In group A, 2/80 his were diagnosed, whereas in group B the number was 30/80. The Kaplan–Meier survival curves show that the likelihood of IH at 12 months is 1.5 % in group A compared with 35.9 % in group B (p < 0.0001), which means that the differences are statistically significant.

Conclusion

Fitting a prophylactic supra-aponeurotic mesh prevents IH independently of other factors.

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Title: Prevention of Incisional Hernia in Midline Laparotomy with an Onlay Mesh: A Randomized Clinical Trial
Authors: A. Caro-Tarrago
C. Olona Casas
A. Jimenez Salido
E. Duque Guilera
F. Moreno Fernandez
V. Vicente Guillen
Publication date: 01-09-2014
Publisher: Springer US
Published in: World Journal of Surgery / Issue 9/2014
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-014-2510-6

At a glance: The STEP trials

Springer Medicine

Prevention of Incisional Hernia in Midline Laparotomy with an Onlay Mesh: A Randomized Clinical Trial

Abstract

Objective

Material and methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Objective

Material and methods

Results

Conclusion

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