SynthesisHernia : the journal of hernias and abdominal wall surgery2021
Ventral hernia repair with synthetic mesh in a contaminated field: a systematic review and meta-analysis.
Synthesis in Hernia : the journal of hernias and abdominal wall surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 5 of them syntheses 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 5 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- Full-thickness skin and dermal grafts as abdominal wall augmentation in ventral hernia repairs - a systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- Meta-analysis of controlled studies comparing biologic and synthetic unabsorbable mesh in contaminated fields.Surgical endoscopy · 2025Pooled it
- Prophylactic mesh versus primary closure in emergency and elective surgeries: a systematic review and meta-analysis of randomized clinical trials.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- Ventral hernia repair in high-risk patients and contaminated fields using a single mesh: proportional meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2022Pooled it
- Comparison of outcomes of ventral hernia repair using different meshes: a systematic review and network meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2022Pooled it
- Comparative tissue response to a bovine peritoneum matrix and UltraPro mesh under experimentalFrontiers in surgery · 2026Article
- Antimicrobial effect of biological surgical mesh added with vancomycin or silver nanoparticles for multidrug-resistant bacteria: experimental study in rats.Revista do Colegio Brasileiro de Cirurgioes · 2026Article
- Use of Biologic and Biosynthetic Mesh for Ventral Hernia Repair in Current Practice.JAMA surgery · 2025Article
- Mesh-Augmented Ventral Hernia Repair Despite IatrogenicSurgical case reports · 2025Article
- Contemporary Abdominal Wall Reconstruction: Emerging Techniques and Trends.Journal of clinical medicine · 2024Review
- [Female patient with fever and right-sided inguinal pain].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2022Article
- 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 · 2022Review
- Laparotomy with suture repair is the most common treatment for obturator hernia: a scoping review.Langenbeck's archives of surgery · 2021Article
- An evaluation of clinical and quality of life outcomes after ventral hernia repair with poly-4-hydroxybutyrate mesh.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe use of mesh in ventral hernia repair becomes especially challenging when associated with a contaminated field. Permanent synthetic mesh use in this setting is currently debated and this discussion is yet to be resolved clinically or in the literature. We aim to systematically assess postoperative outcomes of non-absorbable synthetic mesh (NASM) used in ventral hernia repair in the setting of contamination.
methodsA literature search of PubMed, Embase, Scopus, Cinahl, and Cochrane Library identified all articles from 2000-2020 that examined the use of NASM for ventral hernia repair in a contaminated field. Postoperative outcomes were assessed by means of pooled analysis and meta-analysis. Qualitative analysis was completed for all included studies using a modified Newcastle-Ottawa scale.
resultsOf 630 distinct publications and 104 requiring full review, this study included 17 articles published between 2007 and 2020. Meta-analysis demonstrated absorbable mesh was associated with more HR (OR 1.89, 1.15-3.12, p = 0.008), SSO (OR 1.43, 0.96-2.11, p = 0.087), SSI (OR 2.84, 1.85-4.35, p < 0.001), and unplanned reoperation (OR 1.99, 1.19-3.32, p = 0.009) compared to NASM.
conclusionThe use of NASM for ventral hernia repair in a contaminated field may be a safe alternative to absorbable mesh, as evidenced by lower rates of postoperative complications. This review counters the current clinical paradigm, and additional prospective randomized controlled trials are warranted.
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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.