Incisional hernia prevention and use of mesh. A narrative review.

Cir Esp (Engl Ed)

Servicio de Cirugía General y Digestiva, Parc de Salut Mar, Hospital del Mar. Departament de Ciències Experimentals i de la Salut, Universitat Pompeu Fabra, Barcelona, España.

Published: February 2018

AI Article Synopsis

  • Incisional hernias affect about 15-20% of patients undergoing laparotomies, while evisceration occurs in 2.5-3% of cases and can lead to serious health issues.
  • Proper prevention of these complications is crucial for enhancing patient quality of life and reducing healthcare costs.
  • The review discusses current best practices for abdominal wall closure and explores the potential use of prosthetic reinforcement, also addressing specific types of hernias related to surgical procedures.

Article Abstract

Incisional hernias are a very common problem, with an estimated incidence around 15-20% of all laparotomies. Evisceration is another important problem, with a lower rate (2.5-3%) but severe consequences for patients. Prevention of both complications is an essential objective of correct patient treatment due to the improved quality of life and cost savings. This narrative review intends to provide an update on incisional hernia and evisceration prevention. We analyze the current criteria for proper abdominal wall closure and the possibility to add prosthetic reinforcement in certain cases requiring it. Parastomal, trocar-site hernias and hernias developed after stoma closure are included in this review.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ciresp.2018.01.003DOI Listing

Publication Analysis

Top Keywords

incisional hernia
8
narrative review
8
hernia prevention
4
prevention mesh
4
mesh narrative
4
review incisional
4
incisional hernias
4
hernias common
4
common problem
4
problem estimated
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!