Type of mesh and wall plane in prophylactic mesh after stoma closure: A network meta-analysis.

ABSTRACT:

Background

Prophylactic mesh placement lowers incisional hernia risk, but the ideal mesh type and anatomical plane remain unclear. This study aims to determine which mesh and placement site are associated with the lowest rates of incisional hernia and surgical site infection after stoma closure.

Methods

A systematic review of PubMed, the Cochrane Library, and Embase was conducted to identify comparative studies evaluating the type of mesh and/or the anatomical plane of mesh placement in the abdominal wall following stoma closure for the prevention of incisional hernias. A network meta-analysis was performed to assess incisional hernia and surgical site infection.

Results

We included 11 included studies involving 2,148 patients. The use of prosthetic mesh (OR = 0.137,

SUBMITTER: Ramirez-Giraldo C 

PROVIDER: S-EPMC12241242 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature