Evidence map›Paper›PMID 31302788›Full record

SynthesisHernia : the journal of hernias and abdominal wall surgery2019

Prophylactic mesh placement to avoid incisional hernias after stoma reversal: a systematic review and meta-analysis.

L C L van den Hil, S van Steensel, M H F Schreinemacher, N D Bouvy

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis 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 17 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 7 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

17 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Reversal of stoma with biosynthetic mesh fascial reinforcement: a systematic review and meta-analysis.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024
    Pooled it
  4. Pooled it
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  8. Trial
  9. Trial
  10. Article
  11. Review
  12. Article
  13. Article
  14. When to use a prophylactic mesh after stoma closure: a case-control study.Hernia : the journal of hernias and abdominal wall surgery · 2022
    Article
  15. Synthetic Mesh in Contaminated Abdominal Wall Surgery: Friend or Foe? A Literature Review.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022
    Review
  16. Should simultaneous stoma closure and incisional hernia repair be avoided?Hernia : the journal of hernias and abdominal wall surgery · 2021
    Article
  17. Review
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

4 authors.

L C L van den HilDepartment of General Surgery, Maastricht University Medical Centre, Maastricht, 6202 AZ, The Netherlands. l.vandenhil@maastrichtuniversity.nl.ORCID 0000-0002-8030-6602
S van SteenselDepartment of General Surgery, Maastricht University Medical Centre, Maastricht, 6202 AZ, The Netherlands.
M H F SchreinemacherDepartment of General Surgery, Maastricht University Medical Centre, Maastricht, 6202 AZ, The Netherlands.
N D BouvyDepartment of General Surgery, Maastricht University Medical Centre, Maastricht, 6202 AZ, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo provide an overview of the available literature on prevention of incisional hernias after stoma reversal, with the use of prophylactic meshes.

methodsA literature search of Pubmed, MEDLINE and EMBASE was performed. Search terms for stoma, enterostomy, mesh, prophylaxis and hernia were used. Search was updated to December 31th 2018. No time limitations were used, while English, Geman, Dutch and French were used as language restrictions. The primary outcome was the incidence of incisional hernia formation after stoma reversal. Secondary outcomes were mesh-related complications. Data on study design, sample size, patient characteristics, stoma and mesh characteristics, duration of follow-up and outcomes were extracted from the included articles.

resultsA number of 241 articles were identified and three studies with 536 patients were included. A prophylactic mesh was placed in 168 patients to prevent incisional hernias after stoma reversal. Follow-up ranged from 10 to 21 months. The risk of incisional hernia in case of prophylactic mesh placement was significantly lower in comparison to no mesh placement (OR 0.10, 95% CI 0.04-0.27, p < 0.001, I

conclusionsThe use of a prophylactic mesh seems to reduce the risk on incisional hernias after stoma reversal and therefore mesh reinforcement should be considered after stoma reversal.

Indexed as

EnterostomyHumansIncidenceIncisional HerniaPostoperative ComplicationsProstheses and ImplantsRectal NeoplasmsSurgical MeshSurgical StomasSurgical Wound InfectionTime FactorsIncisional herniaProphylactic meshStoma reversalTemporary stoma

Identifiers

PMID31302788
PMCPMC6661031

What OpenQuestion holds

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LicenceCC BY
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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.