Prevention of incisional hernia with prophylactic onlay and sublay mesh reinforcement versus primary suture only in midline laparotomies (PRIMA): 2-year follow-up of a multicentre, double-blind, randomised controlled trial

Incidence, risk factors and prevention of stoma site incisional hernias: a systematic review and meta‐analysis

“…BMI is known to affect midline incisional and parastomal hernia rates , which might be explained by higher intra‐abdominal pressure and consequent higher abdominal wall tension . Additionally, obesity and diabetes are associated with wound healing complications due to local hypoxia, caused by a decreased vascularization of adipose tissue and other microvascular changes, impairing collagen synthesis and having a negative effect on the overall healing process . Smoking has a comparable negative effect on wound healing and is considered a risk factor for incisional hernia .…”

Prophylactic onlay reinforcement with absorbable mesh (polyglactin) is associated with less early wound complications after kidney transplantation: A preliminary study

“…Mesh placement is a simple surgical method that may prevent wound/fascial dehiscence and incisional hernias . However, the efficacy of preventive mesh implantation in organ transplant recipients has not been well studied; only case reports and case series investigating pediatric KTx and including less than 10 patients have been published so far .…”

“…Meshes or fascial flaps are mainly used during surgical treatment of hernias and wound and fascial dehiscence . Recently, mesh placement was investigated as a preventive method to reduce the incidence of some wound complications, including wound and fascial dehiscence and hernia after abdominal surgery . The use of preventive mesh reinforcement during KTx has also been investigated during intraperitoneal renal implantation in children .…”

“…1,12 Recently, mesh placement was investigated as a preventive method to reduce the incidence of some wound complications, including wound and fascial dehiscence and hernia after abdominal surgery. [13][14][15] The use of preventive mesh reinforcement during KTx has also been investigated during intraperitoneal renal implantation in children. 13,15 However, the effectiveness of preventive mesh placement is controversial.…”

“…[13][14][15] The use of preventive mesh reinforcement during KTx has also been investigated during intraperitoneal renal implantation in children. 13,15 However, the effectiveness of preventive mesh placement is controversial. Although some studies support the use of preventive mesh to reduce wound dehiscence, others argue that mesh reinforcement increases the risk of wound infection.…”