Evidence map›Paper›PMID 32953367›Full record

ArticleCureus2020

Prophylactic Mesh Placement for the Prevention of Incisional Hernia in High-Risk Patients After Abdominal Surgery: A Systematic Review and Meta-Analysis.

Jawad Ahmed, Nimra Hasnain, Iayla Fatima, Farheen Malik, Muhammad A Chaudhary, Junaid Ahmad, Mehreen Malik, Laraib Malik, Muhammad Osama, Mirza Zain Baig and 2 more

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Cureus, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07753551 (PRophylactic mEsh Reinforcement Versus Primary Closure After Emergency Midline Laparotomy), which is not on this map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
1.2field-weighted citation impact, top 20% of its field
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.

NCT07753551 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

PRophylactic mEsh Reinforcement Versus Primary Closure After Emergency Midline Laparotomy (PREEMPT): A Multicenter Randomized Clinical Trial

TypeinterventionalSponsorUniversity of Rome Tor VergataRan2026 to 2031Enrolled189ConditionsIncisional Hernia After Midline Laparotomy, Emergency Abdominal SurgeryArmsProphylactic Biosynthetic Mesh Placement, Direct suture
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
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  4. Trial
  5. Review
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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

12 authors at 4 institutions in 3 countries.

Jawad AhmedInternal Medicine, Dow University of Health Sciences, Karachi, PAK.
Nimra HasnainInternal Medicine, Dow University of Health Sciences, Karachi, PAK.
Iayla FatimaGeneral Surgery, St. Luke's General Hospital, Killenny, IRL.
Farheen MalikInternal Medicine, Dow University of Health Sciences, Karachi, PAK.
Muhammad A ChaudharyCenter for Surgery and Public Health, Harvard Medical School/Harvard T. H. Chan School of Public Health, Boston, USA.
Junaid AhmadLiaquat Medical College, Liaquat University of Medical and Health Sciences, Jamshoro, PAK.
Mehreen MalikAnesthesiology, Aga Khan University, Karachi, PAK.
Laraib MalikPediatrics, Abbasi Shaheed Hospital, Karachi, PAK.
Muhammad OsamaGeneral Surgery, Dow University of Health Sciences, Karachi, PAK.
Mirza Zain BaigSurgical Oncology, Health Quest System, New York, USA.
Faisal KhosaRadiology, Vancouver General Hospital, Vancouver, CAN.
Faiz BhoraThoracic Surgery, Health Quest System, New York, USA.
Dow University of Health Sciences · PKAbbasi Shaheed Hospital · PKGood Samaritan Hospital · USVancouver General Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and objectives In high-risk populations, the efficacy of mesh placement in incisional hernia (IH) prevention after elective abdominal surgeries has been supported by many published studies. This meta-analysis aimed at providing comprehensive and updated clinical implications of prophylactic mesh placement (PMP) for the prevention of IH as compared to primary suture closure (PSC). Materials and methods PubMed, Science Direct, Cochrane, and Google Scholar were systematically searched until March 3, 2020, for studies comparing the efficacy of PMP to PSC in abdominal surgeries. The main outcome of interest was the incidence of IH at different follow-up durations. All statistical analyses were carried out using Review Manager version 5.3 (The Nordic Cochrane Centre, The Cochrane Collaboration, 2014) and Stata 11.0 (Stata Corporation LP, College Station, TX). The data were pooled using the random-effects model, and odds ratio (OR) and weighted mean differences (WMD) were calculated with the corresponding 95% confidence interval (CI). Results A total of 3,330 were identified initially and after duplicate removal and exclusion based on title and abstract, 26 studies comprising 3,000 patients, were included. The incidence of IH was significantly reduced for PMP at follow-up periods of one year (OR= 0.16 [0.05, 0.51]; p=0.002; I

Indexed as

abdominal surgerychronic wound painhigh-riskincisional hernialaparoscopic surgerylaparotomymesh placementprophylactic mesh useseromasuture

Identifiers

PMID32953367
PMCPMC7497772
OpenAlexW3087645985

What OpenQuestion holds

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Registered trials

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.