Meta-Analysis of Primary Mesh Augmentation as Prophylactic Measure to Prevent Incisional Hernia
2013; Karger Publishers; Volume: 30; Issue: 4-6 Linguagem: Inglês
10.1159/000355956
ISSN1421-9883
AutoresLucas Timmermans, Barry de Goede, Hasan H. Eker, Bob J.H. van Kempen, Johannes Jeekel, Johan F. Lange,
Tópico(s)Intestinal and Peritoneal Adhesions
Resumo<b><i>Background:</i></b> 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). <b><i>Methods:</i></b> 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. <b><i>Results:</i></b> 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, I<sup>2</sup>0%; p < 0.001). No difference could be observed with regard to wound infection (RR 0.86, 95% CI 0.39-1.91, I<sup>2</sup> 0%; p = 0.71) or seroma (RR 1.22, 95% CI 0.64-2.33, I<sup>2</sup> 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, I<sup>2</sup>0%; p = 0.09). <b><i>Conclusion:</i></b> The use of PMA for abdominal wall closure is associated with significantly lower incidence of IH compared to PS.
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