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Prevention of Incisional Hernia in Midline Laparotomy with an Onlay Mesh: A Randomized Clinical Trial

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Abstract

Objective

Our objective was to evaluate the prevention of incisional hernia (IH) during the postoperative period of a midline laparotomy during elective surgery.

Material and methods

A controlled, prospective, randomized, and blind study was carried out. The patients in group A (mesh) were fitted with a polypropylene mesh, to reinforce the standard abdominal wall closure. The patients in group B (non-mesh) underwent a standard abdominal wall closure and were not fitted with the mesh.

Results

In group A, 2/80 his were diagnosed, whereas in group B the number was 30/80. The Kaplan–Meier survival curves show that the likelihood of IH at 12 months is 1.5 % in group A compared with 35.9 % in group B (p < 0.0001), which means that the differences are statistically significant.

Conclusion

Fitting a prophylactic supra-aponeurotic mesh prevents IH independently of other factors.

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Acknowledgments

The authors are grateful to the language service of the Rovira i Virgili University for translating our original text. This study has not received funding of any form and the authors of this article have no commercial interests to disclose.

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Authors and Affiliations

  1. General and Digestive Surgery Service, Parc Taulí University Hospital, Parc Taulí s/n, 08208, Sabadell, Barcelona, Spain

    A. Caro-Tarrago

  2. General and Digestive Surgery Service, University Hospital Joan XXIII, Tarragona, Spain

    C. Olona Casas, A. Jimenez Salido, E. Duque Guilera, F. Moreno Fernandez & V. Vicente Guillen

Authors
  1. A. Caro-Tarrago
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  2. C. Olona Casas
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  3. A. Jimenez Salido
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  4. E. Duque Guilera
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  5. F. Moreno Fernandez
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  6. V. Vicente Guillen
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Corresponding author

Correspondence to A. Caro-Tarrago.

Additional information

International Standard Randomized Controlled Trial number: ISRCTN98336745.

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Caro-Tarrago, A., Olona Casas, C., Jimenez Salido, A. et al. Prevention of Incisional Hernia in Midline Laparotomy with an Onlay Mesh: A Randomized Clinical Trial. World J Surg 38, 2223–2230 (2014). https://doi.org/10.1007/s00268-014-2510-6

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  • DOI: https://doi.org/10.1007/s00268-014-2510-6

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