SynthesisANZ journal of surgery2025
Comparative Outcomes of Direct Versus Mesh Repair and Timing of Repair for Traumatic Abdominal Wall Hernias: A Systematic Review and Meta-Analysis.
Synthesis in ANZ journal of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled 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.
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
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Comparative Outcomes of Direct Versus Mesh Repair and Timing of Repair for Traumatic Abdominal Wall Hernias: A Systematic Review and Meta-Analysis.ANZ journal of surgery · 2025Pooled it
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
introductionTraumatic abdominal wall hernia (TAWH) refers to the disruption of the muscular layers of the abdominal wall following blunt traumatic injury. There is a lack of consensus in the management of TAWH, particularly when trauma laparotomy for concurrent visceral injury is required. This systematic review and meta-analysis aims to evaluate recurrence outcomes with repair technique (mesh vs. direct suture repair) and timing of repair (acute vs. elective) with and without trauma laparotomy. METHODOLOGY: A comprehensive search was conducted on Medline, Embase, and Cochrane central databases. Keywords related to traumatic abdominal wall hernia, acute and elective treatment, and timing of repair were used to identify relevant articles.
resultsA total of 26 studies involving 432 patients were included. There was reduced recurrence with mesh compared to direct suture repair in patients with TAWH who did not require trauma laparotomy (OR 0.20, 95% CI 0.05-0.82, p = 0.02), although there was no difference in recurrence between acute versus elective repair in this cohort. There was no difference between mesh and direct suture repair for the management of TAWH in patients requiring trauma laparotomy.
conclusionThis systematic review and meta-analysis identified evidence of reduced recurrence with mesh compared to direct suture repair for a patient with TAWH who did not require trauma laparotomy. There was insufficient evidence of superiority for mesh compared to direct suture repair in trauma laparotomy settings, nor timing of repair in non-trauma laparotomy settings. The strength of the conclusions is limited by the risk of bias in included studies and their heterogeneity.
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