Page 112 - Prevention and Treatment of Incisional Hernia- New Techniques and Materials

Chapter 5
110
Table 5. List of the randomized clinical trials and their characteristics on prophylactic mesh augmentation using a polypropylene mesh Incisional hernias
E ect size
RCT
publ. LoE date
SIGN n
population
mesh position
FU diagnosis incisional months hernia
NO Mesh Mesh
Risk Ratio (95% CI)
Gutiérrez (109)
2003 2b
+ 88
High risk patients
onlay
36 clinical + selective CT scan
5/44 0/44
0.09 (0.01-1.60)
Strelczyk (110)
2006 1b 2009 2b 2010 1b 2013 2b 2014 1b
++ 74 + 40 ++ 80 + 64 ++ 160
Obesity surgery
High risk patients
AAA retro-muscular
28 clinical + ultrasound in all
0.06 (0.00-1.04) 0.33 (0.04-2.94) 0.36 (0.15-0.90) 0.11 (0.01-0.83) 0.07 (0.02-0.27) 0.17 (0.08 - 0.37)
El-Kadrawy (108)
retro-muscular pre-peritoneal
8/38 0/36 36 clinical 3/20 1/20
Bevis (107)
25.4 48 12
clinical+ selective ultrasound
16/43 5/37 9/32 1/32 30/80 2/80
Abo-Ryia (105)
Obesity surgery
pre-peritoneal onlay
clinical + selective ultrasound
Caro-Tarrago (106)
m i d l i n e laparotomies
clinical + CT scan in all
Overall
506
71/257 9/249