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Updated: Mar 16, 2026
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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
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[Prophylactic meshes in the abdominal wall. German version].
1Department for General, Thoracic and Cardiovascular Surgery, AZ Maria Middelares, Dienst Algemene Heelkunde, Buitenring Sint-Denijs 30, 9000, Ghent, Belgien. filip.muysoms@azmmsj.be.
Summary
Prophylactic mesh implantation is safe and effective for preventing incisional hernias in high-risk patients undergoing abdominal surgery. It is recommended for elective end colostomies and midline laparotomies in at-risk individuals.
Area of Science:
- Surgical innovation
- Hernia repair
- Medical technology
Background:
- Incisional hernias occur frequently in high-risk surgical patients.
- Prophylactic mesh placement during abdominal wall closure is being studied.
- Evidence synthesis is needed for optimal patient management.
Purpose of the Study:
- To review and synthesize evidence on prophylactic mesh use.
- To evaluate mesh efficacy in specific surgical contexts.
- To inform clinical practice guidelines.
Main Methods:
- Systematic reviews were conducted.
- Evidence was analyzed for midline laparotomies, stoma reversals, and permanent stomas.
- Randomized controlled trials were prioritized.
Main Results:
- Synthetic non-absorbable prophylactic mesh is safe and effective for preventing incisional hernias after midline laparotomies and in elective end colostomy construction.
- Mesh is recommended for high-risk patients (e.g., abdominal aortic aneurysm, obesity, colorectal surgery).
- Retromuscular placement is effective for parastomal hernia prevention; biological or absorbable meshes lack supporting data.
Conclusions:
- Prophylactic mesh should be standard for elective end colostomy construction.
- It will become standard for midline laparotomies in high-risk patients.
- Further research is needed for temporary stoma closure indications.
