Evidence map›Paper›PMID 33680450›Full record

ReviewAnnals of medicine and surgery (2012)2021

Surgical site infection in mesh repair for ventral hernia in contaminated field: A systematic review and meta-analysis.

Mohamed Maatouk, Yacine Ben Safta, Aymen Mabrouk, Ghassen Hamdi Kbir, Anis Ben Dhaou, Sami Daldoul, Sofien Sayari, Karim Haouet, Chadli Dziri, Mounir Ben Moussa

Open access · diamondAbstract readReview
In one paragraph

Review in Annals of medicine and surgery (2012), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% 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.

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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

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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

10 authors at 1 institution in 1 country.

Mohamed MaatoukA21 Surgery Department, Charles Nicolle Hospital, Research laboratory LR12ES01, Faculty of Medicine of Tunis/Tunis El Manar University, Tunisia.
Yacine Ben SaftaA21 Surgery Department, Charles Nicolle Hospital, Research laboratory LR12ES01, Faculty of Medicine of Tunis/Tunis El Manar University, Tunisia.
Aymen MabroukA21 Surgery Department, Charles Nicolle Hospital, Research laboratory LR12ES01, Faculty of Medicine of Tunis/Tunis El Manar University, Tunisia.
Ghassen Hamdi KbirA21 Surgery Department, Charles Nicolle Hospital, Research laboratory LR12ES01, Faculty of Medicine of Tunis/Tunis El Manar University, Tunisia.
Anis Ben DhaouA21 Surgery Department, Charles Nicolle Hospital, Research laboratory LR12ES01, Faculty of Medicine of Tunis/Tunis El Manar University, Tunisia.
Sami DaldoulA21 Surgery Department, Charles Nicolle Hospital, Research laboratory LR12ES01, Faculty of Medicine of Tunis/Tunis El Manar University, Tunisia.
Sofien SayariA21 Surgery Department, Charles Nicolle Hospital, Research laboratory LR12ES01, Faculty of Medicine of Tunis/Tunis El Manar University, Tunisia.
Karim HaouetA21 Surgery Department, Charles Nicolle Hospital, Research laboratory LR12ES01, Faculty of Medicine of Tunis/Tunis El Manar University, Tunisia.
Chadli DziriDepartment B of General Surgery, Charles Nicolle's Hospital, Tunis El Manar University, Tunisia.
Mounir Ben MoussaA21 Surgery Department, Charles Nicolle Hospital, Research laboratory LR12ES01, Faculty of Medicine of Tunis/Tunis El Manar University, Tunisia.
Tunis El Manar University · TN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGiven the risk of surgical site infection (SSI), the use of mesh in contaminated ventral hernia repair (VHR) is not standardized and still a clinical dilemma. This meta-analysis aimed to assess whether mesh use increased the risk of SSI in patients following VHR in contaminated field.

methodsWe performed a systematic review of published literature. Studies comparing the mesh repair and anatomic repair, the use of mesh in different Center for Disease Control and Prevention (CDC) wound classes and mesh repair with synthetic mesh or other type of meshes to treat complicated and contaminated VHR were considered for analysis. The main outcome was SSI incidence.

resultsSix studies compared mesh and suture repairs. No significant difference in SSI incidence was observed between patients with complicated VHR in the mesh and suture repair groups.Five studies analyzed mesh repair in patients by field contamination level. There was no significant difference between the use of mesh in clean-contaminated, contaminated and dirty field versus clean wound class. Moreover, there was no significant difference between the use of mesh in clean-contaminated and contaminated cases.Four studies compared mesh repair technique with synthetic mesh or other type of meshes were included. The incidence of SSI was significantly lower in the synthetic mesh group.

conclusionsThe use of mesh repair in the management of complicated VHR compared to suture repair is not associated with an increased incidence of SSI even in potentially contaminated fields.

Indexed as

Complicated herniaContaminated fieldSurgical site infectionVentral hernia

Identifiers

PMID33680450
PMCPMC7907974
OpenAlexW3131499890

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.