SynthesisHernia : the journal of hernias and abdominal wall surgery2020
Recurrence of infection and hernia following partial versus complete removal of infected hernia mesh: a systematic review and cohort meta-analysis.
Synthesis in Hernia : the journal of hernias and abdominal wall surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Mesh Infection After Hernia Repair and Negative Pressure Wound Therapy. A Systematic Review.World journal of surgery · 2023Pooled it
- A practical algorithm for the management of mesh infection in abdominal wall surgery: learnings after 20 years of experience.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Staged approach to chronic mesh infection following hernia repair: a single-center experience.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Prediction of successful revision surgery for mesh-related complaints after inguinal hernia and pelvic organ prolapse repair.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Quality of life assessment of patients after removal of late-onset infected mesh following open tension-free inguinal hernioplasty: 3-year follow-up.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- What is the outcome of late-onset infected mesh removal after open tension-free inguinal hernioplasty: 3-year follow-up.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Abdominal wall reconstruction with biosynthetic absorbable mesh after infected prosthesis explantation: single stage is better than two-stage approach of chronic mesh infection.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Laparoscopic excision of infected mesh.Hernia : the journal of hernias and abdominal wall surgery · 2020Article
- Surgical disaster following hernia mesh infection and erroneous treatment strategy: A case report.International journal of surgery case reports · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of this systematic review and meta-analysis was to determine whether complete removal of infected hernia mesh (CMR) provides better results as compared to partial removal (PMR).
methodsPubMed, EMBASE, Cochrane Library, and MEDLINE via Ovid were systematically searched for records published from 1980 to 2018 by three independent researchers (GM, GS, and GG). Quality assessment, data extraction and analysis were performed according to the Cochrane Handbook for Systematic Reviews of Interventions. Mantel-Haenszel method with odds ratio and 95% confidence interval (OR (95% CI)) as the measure of effect size of dichotomous primary and secondary endpoints was utilized. Random-effects model was used for meta-analysis.
resultsFive observational studies totaling 421 patients were included in the meta-analysis. Rates of infection recurrence were 58.5% (62/106) in PMR and 25.5% (62/315) in CMR. The difference was statistically significant [OR (95% CI) 4.15 (2.30, 7.47); p < 0.001]. Rates of hernia recurrence were 9.7% (8/82) in PMR vs. 40.2% (41/102) in CMR. This difference was not statistically significant [OR (95% CI) 0.25 (0.04, 1.62); p = 0.15]. Low risk of publication bias was found using funnel plots and Egger's test.
conclusionsThis meta-analysis found significantly increased rates of infection recurrence in patients undergoing partial removal of infected hernia mesh as compared to complete removal. Complete removal of infected hernia mesh may be associated with increased rates of hernia recurrence. Further longitudinal observational studies are needed to confirm these findings.
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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.