ArticleLangenbeck's archives of surgery2025
Mesh-mediated fascial traction for open abdomen management to prevent planned ventral hernias: a retrospective cohort.
Article in Langenbeck's archives 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.
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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.
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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
1 citing paper in PubMed.
- Stepwise plication of abdominal mesh technique for open abdomen closure.Acta cirurgica brasileira · 2026Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOpen abdomen is indicated in some clinical scenarios, but it introduces new challenges like the development of planned incisional hernias; new management techniques for temporary closure in open abdomen such as negative pressure wound therapy and mesh-mediated fascial traction have shown an incidence reduction of this outcome. However, for successful abdominal wall closure rates, there is limited evidence evaluating the factors associated with it when mesh-mediated fascial traction is employed in the context of open abdomen.
methodsWe conducted a retrospective cohort analysis of patients managed with mesh-mediated fascial traction at Méderi Hospital Network from 2020 to 2025. Demographic data, clinical characteristics, surgical variables, and postoperative outcomes were systematically evaluated.
resultsNinety-two patients were included, achieving a definitive abdominal wall closure success rate of 70.7%. Closure failure was significantly correlated with more than four peritoneal lavage procedures, intestinal resection, and initial fascial defects greater than 7.5 cm. Primary indications for OA management were peritonitis/sepsis (34.8%) and bowel obstruction (19.6%).
conclusionsMesh-mediated fascial traction is effective for definitive abdominal wall closure in a majority of patients. However, identifying those at increased risk for closure failure is vital. Utilizing a tailored decision-making algorithm based on specific predictors can optimize clinical outcomes and reduce healthcare costs.
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