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Prophylactic mesh augmentation after laparotomy for elective and emergency surgery: meta-analysis.


Frassini S, Calabretto F, Granieri S, Fugazzola P, Massaro M, Sargenti B et al.

BJS Open 2023; 7: zrad060.

Some 18 RCTs were included in this analysis, that consisted of 2659 procedures. Prophylactic mesh placement reduced the rate of incisional hernia up to four years: risk ratio 0.38, P=0.026.

Comment: How many trials are needed before surgeons will be persuaded?

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