Evidence map›Paper›PMID 40906014›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2025

The invite study: incisional hernia prevention: prophylactic mesh from the patient's perspective.

Laurie Smith, Laura Knight, Alun Meggy, Tessa Watts, Jared Torkington, Julie Cornish

Abstract read
In one paragraph

Article 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 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

6 authors.

Laurie SmithDepartment of Colorectal Surgery, University Hospital of Wales, Cardiff, UK. Laurie.smith@wales.nhs.uk.ORCID 0000-0003-0201-9373
Laura KnightCEDAR Health technology research group, Cardiff, UK.ORCID 0000-0003-2726-8026
Alun MeggyDepartment of Colorectal Surgery, University Hospital of Wales, Cardiff, UK.
Tessa WattsCardiff University, Cardiff, UK.ORCID 0000-0002-1201-5192
Jared TorkingtonDepartment of Colorectal Surgery, University Hospital of Wales, Cardiff, UK.ORCID 0000-0002-3218-0574
Julie CornishCardiff University, Cardiff, UK.ORCID 0000-0003-4360-4472

Funding

European Hernia Society European Hernia Society
6 · The paper itself

Abstract

purposeMesh-augmented abdominal wall closure (Mesh prophylaxis) reduces incisional hernia rates in high-risk patients. In spite of a large body of evidence supporting its efficacy and safety, use of mesh prophylaxis is low in the US and UK, possibly due to negative perceptions of surgical mesh

methodsFollowing ethical approval, a convergent mixed-methods study was conducted whereby patients who had undergone elective or emergency surgery (n=332) were approached to participate in a questionnaire assessing knowledge and opinions regarding mesh prophylaxis Semi-structured interviews were conducted in a subset of participants (n=12) and thematic analysis performed.

results120 questionnaires were returned with a response rate of 36.1%. The majority (61.8%) of participants had heard of surgical mesh, with half (51.7%) having a negative association, driven by the media. Half (50%) of participants had pre-existing concerns about mesh, however the majority (91%) felt mesh prophylaxis to be acceptable, findings which were echoed in the qualitative component. Analysis of interview data identified three themes: "Knowledge of mesh" and "Acceptability of mesh", which triangulated with findings in the survey data and "Shared decision-making", which explored how participants wanted to receive information about mesh. Factors affecting acceptability of mesh included the nature of information given to patients, and the way in which it was delivered.

conclusionsDespite negative pre-conceptions, mesh prophylaxis is broadly acceptable to patients. The results of this work will be used to develop patient resources to support mesh prophylaxis. Future mixed-methods studies identifying the surgeons' barriers to use of mesh are needed to allow targeted implementation of prophylactic mesh.

Indexed as

Abdominal Wound Closure TechniquesHealth Knowledge, Attitudes, PracticeIncisional HerniaPatient Acceptance of Health CareSurgical MeshAdultAgedFemaleHumansMaleMiddle AgedSurveys and QuestionnairesImplementationIncisional HerniaMesh prophylaxisPrevention

Identifiers

PMID40906014
PMCPMC12411575

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.