Evidence map›Paper›PMID 30701368›Full record

Trial reportHernia : the journal of hernias and abdominal wall surgery2019

Long-term results of a prospective randomized trial of midline laparotomy closure with onlay mesh.

A Caro-Tarrago, C Olona, M Millán, M Olona, B Espina, R Jorba

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Hernia : the journal of hernias and abdominal wall surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 9 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 9 syntheses or guidelines pooled it.

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  10. Trial
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  13. Incisional hernia prediction using machine learning models.BMC medical informatics and decision making · 2026
    Observational
  14. Article
  15. Article
  16. Review
  17. Article
  18. Incisional Hernia Depends on More Than Just Mesh Placement.Journal of abdominal wall surgery : JAWS · 2024
    Article
  19. Article
  20. Defining High-Risk Patients Suitable for Incisional Hernia Prevention.Journal of abdominal wall surgery : JAWS · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

A Caro-TarragoGeneral and Digestive Surgery Service, Department of Surgery, University Hospital Joan XXIII, 43007, Tarragona, Spain. dra5028@gmail.com.ORCID http://orcid.org/0000-0001-6151-3879
C OlonaGeneral and Digestive Surgery Service, Department of Surgery, University Hospital Joan XXIII, 43007, Tarragona, Spain.ORCID http://orcid.org/0000-0001-6352-7270
M MillánGeneral and Digestive Surgery Service, Department of Surgery, University Hospital Joan XXIII, 43007, Tarragona, Spain.ORCID http://orcid.org/0000-0002-4692-5936
M OlonaDepartment of epidemiology and Preventive Medicine, University Hospital Joan XXIII, Tarragona, Spain.ORCID http://orcid.org/0000-0001-5303-9361
B EspinaGeneral and Digestive Surgery Service, Department of Surgery, University Hospital Joan XXIII, 43007, Tarragona, Spain.ORCID http://orcid.org/0000-0003-1697-9973
R JorbaGeneral and Digestive Surgery Service, Department of Surgery, University Hospital Joan XXIII, 43007, Tarragona, Spain.ORCID http://orcid.org/0000-0003-3307-4340

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIncisional hernia (IH) continues to be one of the most common complications of laparotomy. The short-term protective effect of the use of mesh has been demonstrated in several studies. At present, there is little evidence on the long-term results of the prophylactic use of mesh. The aim of the present study is to analyze the long-term prevention of IH 5 years after a midline laparotomy during elective surgery.

methodsA prospective study was performed including all of the 160 patients that had been previously included in the prospective, randomized, controlled trial performed between May 2009 and November 2012. The protocol and results at 1 year have been previously published in 2014. 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. All patients were followed for 5 years or until the diagnosis of incisional hernia was made, further surgery was performed, or the patient died. Cases lost to follow-up were also registered.

resultsFive years after surgery, in group A (mesh) we have found 4/80 (5.1%) incisional hernias, while in group B (no mesh) 37/80 patients were diagnosed with an incisional hernia (46.8%). The Kaplan-Meier survival curves for these results show statistically significant differences (p > 0.001).

conclusionThe protective effect of the use of an onlay mesh in abdominal wall closure is significantly maintained in the long-term, up to 5 years after surgery. International Standard Randomized Controlled Trial number: ISRCTN98336745.

Indexed as

Abdominal Wound Closure TechniquesAbdomenElective Surgical ProceduresHumansIncidenceIncisional HerniaLaparotomyPolypropylenesProspective StudiesSpainSurgical MeshPolypropylenesIncisional herniaPolypropylene meshPrevention

Identifiers

PMID30701368

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.