SynthesisHernia : the journal of hernias and abdominal wall surgery2025
Cost-effectiveness of selective prophylactic mesh placement after stoma closure.
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 2 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
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prophylactic mesh at stoma reversal reduces incisional hernia without increasing early complications: a systematic review and meta-analysis of randomised trials.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- Composition and influencing factors of hospitalization costs in adult patients undergoing incisional hernia repair surgery.Updates in surgery · 2026Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStoma closure is associated with a high incidence of incisional hernia, which not only impose significant costs on the healthcare system but also negatively impact patient's overall health. Prophylactic mesh placement for stoma closure has proven effective in preventing these hernias; however, its broader implementation is limited primarily by cost-effectiveness concerns.
methodsWe carried out an economic evaluation to assess the cost-effectiveness of the use of selective prophylactic mesh (high-risk patients) in patients who underwent stoma closure, using data from a systematic review and meta-analysis that evaluated risk factors, and another systematic review and meta-analysis that evaluated the effectiveness of prophylactic mesh.
resultsOur study showed that selective strategy offers an alternative with a lower incremental cost and comparable, although lower effectiveness. While prophylactic mesh placement in all patients has a higher incremental cost, it also has higher effectiveness. Nevertheless, the incremental cost does not exceed the threshold established in our setting of 2 times the GDP per capita.
conclusionThe use of prophylactic mesh for the closure of all stomas is a strategy that should be implemented and performed with a prosthetic mesh to be a cost-effective strategy.
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Registered trials
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