Prevention of incisional hernias by prophylactic mesh-augmented reinforcement of midline laparotomies for abdominal aortic aneurysm treatment. Five-year follow-up of a randomized controlled trial.
Dewulf M, Muysoms F, Vierendeels T, Huyghe M, Miserez M, Ruppert M et al.
Ann Surg 2022; 276: e217-e222.
After five years, 67 patients were available for analysis by clinical examination. The rate of incisional hernias was 49.2% in the no mesh group versus none in the mesh group. Some 5/23 in the no mesh group required reoperation.
Comment: Prophylactic mesh remains controversial, but the evidence of benefit is increasing, and incisional hernia can be very debilitating in this patient group who tend to be elderly.
24 November 2022Read paper
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