Related Experiment Video
Updated: Aug 5, 2025
05:15
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
6.5K
Does onlay mesh placement in emergency laparotomy prevent incisional hernia? A prospective randomized double-blind
M E Ulutas1, A Sahin2, G Simsek2
1Department of Surgery, University of Health Science, Konya City Hospital, Akabe Mah. Adana Çevre Yolu Cad. No:135 Karatay, 42020, Konya, Turkey. esref_ulutas@hotmail.com.
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|March 26, 2023
Summary
Onlay mesh closure significantly reduces incisional hernia risk after emergency midline laparotomy compared to conventional methods. Prophylactic mesh use is recommended for high-risk patients to prevent hernias and related complications.
Area of Science:
- Surgical innovation in abdominal wall reconstruction.
- Clinical trial methodology in emergency surgery.
Background:
- Incisional hernias are a common complication following abdominal surgery.
- Emergency midline laparotomies carry a high risk of incisional hernia development.
Purpose of the Study:
- To evaluate the efficacy and safety of onlay mesh closure for preventing incisional hernias.
- To compare outcomes between conventional closure and mesh-augmented closure in emergency laparotomies.
Main Methods:
- Prospective randomized double-blind study with 108 patients.
- Comparison of conventional abdominal closure versus onlay mesh closure.
- One-year follow-up assessing incisional hernia incidence and complications.
Main Results:
- Onlay mesh closure resulted in a significantly lower incisional hernia rate (4%) compared to conventional closure (27.4%).
- Higher rates of Clavien-Dindo 3B complications and burst abdomen were observed in the conventional closure group.
- Surgically treated complications were more frequent with conventional closure.
Conclusions:
- Onlay mesh closure is effective in reducing incisional hernias after emergency midline laparotomy.
- Prophylactic mesh application can mitigate incisional hernia risks and associated complications, particularly in high-risk individuals.
