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Related Experiment Video

Updated: Mar 17, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
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Prophylactic meshes in the abdominal wall.

F E Muysoms1, U A Dietz2

  • 1Department for General, Thoracic and Cardiovascular Surgery, AZ Maria Middelares Dienst Algemene Heelkunde, Buitenring Sint-Denijs 30, 9000, Ghent, Belgium. filip.muysoms@azmmsj.be.

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|July 28, 2016
PubMed
Summary

Prophylactic synthetic non-absorbable mesh is safe and effective for preventing incisional hernias in high-risk patients after abdominal surgery and for elective end colostomy construction.

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Area of Science:

  • Surgical innovation
  • Hernia repair
  • Abdominal surgery

Background:

  • Incisional hernias are common in high-risk surgical patients.
  • Prophylactic mesh placement during abdominal wall closure is being studied.

Purpose of the Study:

  • To review and synthesize evidence on prophylactic meshes for hernia prevention.

Main Methods:

  • Systematic reviews of prophylactic mesh use in midline laparotomies, stoma reversal, and permanent stoma.
  • Analysis of randomized controlled trials.

Main Results:

  • Synthetic non-absorbable mesh is safe and effective for preventing incisional hernias after midline laparotomies and for elective end colostomy.
  • Retromuscular or onlay mesh positions are effective for midline laparotomies.
Keywords:
ColostomyIncisional herniaLaparotomyPreventionRisk factors

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  • Retromuscular mesh is effective for parastomal hernia prevention in end colostomies.
  • No evidence supports biological or absorbable meshes over non-absorbable synthetic meshes.
  • No data support routine prophylactic mesh for temporary stoma closure.

    • Conclusions:

    • Prophylactic mesh should be standard for elective end colostomy.
    • It will become standard for midline laparotomies in high-risk patients.
    • Consider mesh for high-risk patients undergoing specific surgeries (AAA, obesity, colorectal).