Page 69 - Prevention and Treatment of Incisional Hernia- New Techniques and Materials

MATCH review
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Table 1. Overview of included studies
Number
of patients (group A/group B)
Type of laparotomy
Intervention
Comparison
Length of follow-up (months)
Suture to wound length ratio, stitch size
Outcome measures
147 (40/47/45/42)
Emergency midline laparotomy
Non-absorbable continuous mass- closure (polypropylene 1-0)
Absorbable continuous mass-closure (polyglactin 1-0)
48 mo
4:1 ratio, N/A
Incisional hernia, SSI, dehiscence, suture sinus.
191 (63/63/65)
Elective midline laparotomy
Non-absorbable mono lament continuous mass- closure (Premilene 1-0)
Slowly-absorbable mono lament continuous mass-closure (PDS 1-0)
36 mo
4:1 ratio, N/A
Incisional hernia, SSI, dehiscence, scar pain
456 (233/233)
Emergency and elective midline laparotomy
Non-absorbable mono lament continuous single layer (Prolene 1-0)
Slowly-absorbable mono lament continuous single layer (PDS 1-0)
35 mo
4:1 ratio, 1 cm from fascial edge
Incisional hernia, SSI, suture sinus
Non-absorbable interrupted mass-closure (polypropylene 1-0)
Absorbable interrupted mass-closure (polyglactin 1-0)
Non-absorbable multi lament interrupted fascial closure (Ethibond 2-0)
Bloemen et al.(2) Berretta et al. (15) Agrawal et al.(32) Paper
High quality Acceptable Acceptable Quality assessment