SynthesisHernia : the journal of hernias and abdominal wall surgery2025
Type of mesh and wall plane in prophylactic mesh after stoma closure: A network meta-analysis.
Synthesis in Hernia : the journal of hernias and abdominal wall surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 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
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Cost-effectiveness of selective prophylactic mesh placement after stoma closure.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- Prevention of incisional hernia in ileostomy reversal. 5-year follow-up prospective randomized controlled trial.Hernia : the journal of hernias and abdominal wall surgery · 2025Trial
- Prevention of incisional hernia with biosynthetic mesh at the site of temporary ileostomy closure (PRINCESS Study): Preliminary Results.Hernia : the journal of hernias and abdominal wall surgery · 2025Observational
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundProphylactic mesh placement lowers incisional hernia risk, but the ideal mesh type and anatomical plane remain unclear. This study aims to determine which mesh and placement site are associated with the lowest rates of incisional hernia and surgical site infection after stoma closure.
methodsA systematic review of PubMed, the Cochrane Library, and Embase was conducted to identify comparative studies evaluating the type of mesh and/or the anatomical plane of mesh placement in the abdominal wall following stoma closure for the prevention of incisional hernias. A network meta-analysis was performed to assess incisional hernia and surgical site infection.
resultsWe included 11 included studies involving 2,148 patients. The use of prosthetic mesh (OR = 0.137, 95%CI 0.056-0.335), bioprosthetic mesh (OR = 0.171, 95%CI 0.061-0.473), and biological mesh (OR = 0.528, 95%CI 0.336-0.828) was associated with a lower risk of incisional hernia compared to no mesh use. Mesh placement in a retromuscular position (OR = 0.068, 95%CI 0.024-0.189), onlay position (OR = 0.224, 95%CI 0.095-0.524), and intraperitoneal position (OR = 0.564, 95%CI 0.366-0.869) was associated with a lower risk of incisional hernia compared to no mesh use. No statistically significant differences were observed in surgical site infection risk between the use of different mesh types or anatomical planes and no mesh placement.
conclusionProphylactic placement of prosthetic or bioprosthetic mesh in the retromuscular plane at the time of stoma closure is the most effective approach for reducing the incidence of incisional hernia and surgical site infection.
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