Prophylactic mesh reinforcement at emergency midline laparotomy: a systematic review and meta-analysis with pre-specified subgroup analysis of contaminated and dirty abdominal wounds (CDC Class III–IV)
Ricardo Antonio Gonzalez Jaramillo, Lorena I. Avendaño, Andrea Melissa Briceño González, Brandon Durán Suárez, Jorge Luis Rosales Becerra, Eduardo Jordan Garcia, Carlos Javier Mata Quintero · 2026
Read Prophylactic mesh reinforcement at emergency midline laparotomy: a systematic review and meta-analysis with pre-specified subgroup analysis of contaminated and dirty abdominal wounds (CDC Class III–IV) by Ricardo Antonio Gonzalez Jaramillo, Lorena I. Avendaño, Andrea Melissa Briceño González, Brandon Durán Suárez, Jorge Luis Rosales Becerra, Eduardo Jordan Garcia, Carlos Javier Mata Quintero (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13427801.txt.
Description
Ricardo Antonio Gonzalez Jaramillo and colleagues pooled studies on adding a mesh patch when closing emergency belly surgery, to stop later hernias. A hernia here means the wound bulging open months later through the weakened scar.
Five studies with 617 patients compared mesh closure with plain stitches, including four randomised trials. Mesh cut the odds of later hernia sharply, to roughly a third of the risk seen with stitches alone. The benefit looked similar in clean wounds and in dirty, infected wounds, though that comparison rested on thin data. Fluid pockets under the skin rose about fourfold with mesh, and proof quality rated low, so the authors urge a bigger trial.
Catalog record
| CREATOR | Ricardo Antonio Gonzalez Jaramillo, Lorena I. Avendaño, Andrea Melissa Briceño González, Brandon Durán Suárez, Jorge Luis Rosales Becerra, Eduardo Jordan Garcia, Carlos Javier Mata Quintero |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 57 KB |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |