Hernia最新文献

{"title":"Mesh suture repair of rectus diastasis with and without a concurrent ventral hernia.","authors":"Megan M Perez, Taaha Hassan, Paige N Hackenberger, Gregory A Dumanian, Michael Shapiro","doi":"10.1007/s10029-025-03409-5","DOIUrl":"10.1007/s10029-025-03409-5","url":null,"abstract":"","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"232"},"PeriodicalIF":2.6,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12259806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lateral-dock single-port robotic-assisted extended totally extraperitoneal plasty (eTEP)-Sublay-Herniotomy-Procedure- presentation of a novel technique for robotic-assisted ventral hernia surgery (with video).","authors":"Julian Hipp, Robin Klewitz, Hannes Neeff, Stefan Fichtner-Feigl, Philipp Anton Holzner","doi":"10.1007/s10029-025-03420-w","DOIUrl":"10.1007/s10029-025-03420-w","url":null,"abstract":"<p><strong>Introduction: </strong>Robotic-assisted minimally-invasive extended totally extraperitoneal plasty (eTEP)-sublay-herniotomy is one of the most promising novel techniques for the management of ventral hernia. While several techniques for multiport-robotic-assisted eTEP have been described, only very few reports on suprapubic single-port robotic-assisted eTEP-techniques have been published. The technical limitations of this access leave room for further technical development using single-port-robotic systems.</p><p><strong>Methods: </strong>We give a detailed description of our novel lateral-dock single-port robotic-assisted eTEP-procedure (Freiburg approach, FReTEP). Feasibility of the access was demonstrated within a human cadaveric procedure, and two consecutive patients were treated using the FReTEP-procedure.</p><p><strong>Results: </strong>Two consecutive patients were successfully treated without postoperative complications and without early hernia recurrence using the FReTEP-procedure.</p><p><strong>Conclusion: </strong>The FReTEP-procedure is a promising novel technique for single-port-robotic-assisted ventral hernia repair. Further studies are needed to evaluate the novel procedure.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"231"},"PeriodicalIF":2.4,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12255550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144617395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transabdominal pre-peritoneal hernia repair: risk of operation for recurrence depends on choice of both mesh and fixation device. A study from the Danish Hernia Database.","authors":"Alexander Mortensen, Anne Bodilsen, Hans Friis-Andersen","doi":"10.1007/s10029-025-03344-5","DOIUrl":"10.1007/s10029-025-03344-5","url":null,"abstract":"<p><strong>Purpose: </strong>Multiple methods of mesh fixation are available in laparoscopic inguinal hernia repair, as well as multiple types of mesh. No previous studies compare all methods of fixation in TAPP against each other in regards to risk of reoperation for recurrence. In addition, there is little data comparing types of mesh or the relationship between mesh and fixation method.</p><p><strong>Methods: </strong>We compare the tissue-penetrating methods with non-penetrative as well as no fixation, and examines the interaction of fixation method and choice of mesh. Cohort was established by way of the Danish Hernia Database, identifying patients operated with TAPP from Jan. 2010 to Dec. 2022. Cox' regression analyses were performed, with multivariate analysis correcting for significant confounding variables, yielding adjusted hazard ratios (aHR) for reoperation for each fixation method. Follow-up analyses investigated whether differences in mesh types significantly impacted the results.</p><p><strong>Results: </strong>Among 49,029 TAPP repairs, 3.6% experienced reoperation for recurrence over a mean follow-up of 5.76 years. Tack fixation, the most common method, showed the highest reoperation rates (5.3% at 5 years). Glue, self-fixating meshes, and no fixation, had significantly lower risk in comparison (aHRs of 0.25, 0.21, and 0.51, respectively). Even after correcting for weight and pore size, some mesh types significantly impacted risk, with aHRs spanning 0.28 - 1.</p><p><strong>Conclusion: </strong>Non-penetrative fixation methods and no fixation are associated with lower reoperation rates compared to tissue-penetrative methods, with self-fixating meshes carrying the lowest risk. In addition, we found significant differences in aHR between types of mesh.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"229"},"PeriodicalIF":2.6,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12246025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144608240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prophylactic mesh reinforcement in elective abdominal surgeries: a systematic review, meta-analysis, and GRADE evidence assessment.","authors":"Ahmed W Abbas, Mohamed F Abo-Elsoad, Mahmoud Diaa Hindawi, Mohamed Abo Zeid, Abd-Elfattah Kalmoush, Menna M Aboelkier, Mohamed A Aldemerdash, Rashad G Mohamed, Hosam Elghadban","doi":"10.1007/s10029-025-03421-9","DOIUrl":"10.1007/s10029-025-03421-9","url":null,"abstract":"<p><strong>Background: </strong>Elective laparotomies account for a larger fraction of laparotomy procedures performed worldwide. Although surgical techniques continue to advance, the incidence of incisional hernia (IH) and other post-operative complications remain challenging to surgeons. This study aimed to evaluate the significance of using prophylactic mesh reinforcement during elective laparotomy.</p><p><strong>Methods: </strong>A comprehensive search was conducted in PubMed, Scopus, and Web of Science to identify studies that included adults undergoing elective abdominal surgery and compared prophylactic mesh reinforcement of the abdominal wall using any type of mesh in any anatomical position to standard fascial closure with sutures alone, without mesh. The analysis aimed to assess the impact of mesh reinforcement on the incidence of IH at all possible timepoints, in addition to secondary outcomes based on mesh technique, such as wound infections, dehiscence, seroma, re-operation for IH, and prolonged hospital stay. Data analysis was performed using the R programming language.</p><p><strong>Results: </strong>Fifteen RCTs, including 2,233 patients with follow-up durations ranging from 1.5 to 5 years, were analyzed. Prophylactic mesh reinforcement significantly reduced the incidence of IH following elective gastrointestinal surgeries at 12 months (risk ratio [RR] = 0.35, 95% confidence interval [CI] [0.14; 0.86], p = 0.02), 24 months (RR = 0.28, 95% CI [0.11; 0.68], p < 0.01), 36 months (RR = 0.62, 95% CI [0.36; 1.06], p = 0.08), and 48 months (RR = 0.35, 95% CI [0.11; 1.17], p = 0.09). Similarly, mesh significantly reduced IH rates following open abdominal aortic aneurysm repair at 12 months (RR = 0.13, 95% CI [0.04; 0.41], p < 0.01), 24 months (RR = 0.31, 95% CI [0.21; 0.45], p < 0.01), and 36 months (RR = 0.23, 95% CI [0.10; 0.54], p < 0.01).</p><p><strong>Conclusions: </strong>Prophylactic mesh reinforcement during elective abdominal laparotomy significantly reduced the incidence of IH and the need for reoperation. However, it is associated with an increased risk of seroma formation and, to a lesser extent, wound infection, particularly with the Sublay technique.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"230"},"PeriodicalIF":2.6,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12254175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144617396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment to: Planned iliohypogastric neurectomy for prevention of chronic pain after inguinal hernia repair.","authors":"Christoph Paasch, R Fortelny","doi":"10.1007/s10029-025-03412-w","DOIUrl":"10.1007/s10029-025-03412-w","url":null,"abstract":"","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"224"},"PeriodicalIF":2.6,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12241120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144591147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does prior mesh infection matter? Clinical outcomes of patients undergoing complex abdominal wall reconstruction after infected mesh explantation.","authors":"Daphne Remulla, Brianna L Slatnick, Kimberly P Woo, William C Bennett, Alvaro Carvalho, Cammy Tang, Kimberly S Miles, Li-Ching Huang, Benjamin T Miller, Lucas R Beffa, David M Krpata, Clayton C Petro, Ajita S Prabhu, Michael J Rosen","doi":"10.1007/s10029-025-03405-9","DOIUrl":"https://doi.org/10.1007/s10029-025-03405-9","url":null,"abstract":"<p><strong>Background: </strong>While mesh infection after ventral hernia repair often requires explantation and subsequent repair, the association between prior mesh infection with outcomes following complex abdominal wall reconstruction remains poorly understood.</p><p><strong>Methods: </strong>A two-stage propensity score-matched analysis was performed using the Abdominal Core Health Quality Collaborative database. Patients undergoing clean, elective, open ventral hernia repair with prior mesh infections were compared with those with no prior wound morbidity and non-mesh-related surgical site infections (SSIs). All patients underwent elective open ventral hernia repair with transversus abdominis release (TAR) and retromuscular synthetic mesh placement.</p><p><strong>Results: </strong>After propensity score matching, 205 patients with prior mesh infection were matched to 205 patients with prior non-mesh-related SSI and to 548 patients with no prior wound morbidity. Patients with a prior mesh infection experienced significantly higher rates of 30-day surgical site occurrences (SSO) (24.9% vs. 14.1%; p < 0.001) and surgical site occurrences requiring procedural intervention (14.1% vs. 7.7%; p = 0.007), compared with those with no prior wound morbidity. Compared with those with prior non-mesh-related SSIs, patients with a prior mesh infection also had a higher rate of SSO (25% vs. 14%; p = 0.004) and a higher proportion of deep SSIs (65% vs. 20%; p = 0.004). Despite these differences, mesh excision rates were low across all groups (0.1-0.2%). Patients with prior mesh infection reported significantly worse quality of life at baseline (median HerQLes: 22 vs. 32; p = 0.008) and worse pain scores at 30 days (median PROMIS 3 A: 52 vs. 46; p = 0.007). Reoperation and hernia recurrence rates were similar between groups throughout the five-year follow-up period.</p><p><strong>Conclusions: </strong>Prior mesh infection is associated with increased short-term wound morbidity following complex abdominal wall reconstruction, despite similar long-term hernia recurrence rates and low rates of mesh excision. While transversus abdominis release (TAR) with retromuscular mesh placement may mitigate the risk of repeated mesh infection and explantation, prior mesh infections impact patient outcomes well beyond the immediate postoperative period. These findings can help guide informed discussion and set appropriate patient expectations.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"226"},"PeriodicalIF":2.6,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144591148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Opioid-free versus opioid-based anesthesia for day surgery laparoscopic inguinal hernia repair under ERAS protocol: a randomized non-inferiority trial.","authors":"Chun Wang, Peng Shi, Jun Xu, Xiaohua Fan, Jinjun Bian, Lulong Bo","doi":"10.1007/s10029-025-03410-y","DOIUrl":"10.1007/s10029-025-03410-y","url":null,"abstract":"<p><strong>Purpose: </strong>Laparoscopic inguinal hernia repair (LIHR) is increasingly performed as a day surgery procedure under enhanced recovery after surgery (ERAS) protocol. While opioid-based anesthesia (OA) remains standard, its adverse effects may impair postoperative recovery. This randomized controlled non-inferiority trial assessed whether opioid-free anesthesia (OFA) provides non-inferior postoperative pain control to OA for day surgery LIHR under ERAS protocol and evaluated comprehensive recovery outcomes.</p><p><strong>Methods: </strong>This single-center, prospective, randomized non-inferiority trial enrolled 90 patients scheduled for day surgery LIHR who were randomly allocated to receive either lidocaine-dexmedetomidine-based OFA (n = 45) or sufentanil-remifentanil-based OA (n = 45). The primary outcome was postoperative 24-h time-weighted average visual analog scale (TWA-VAS) pain score at rest. Secondary outcomes included extended pain assessment, quality of recovery indicators, day surgery pathway efficiency, and perioperative hemodynamic stability.</p><p><strong>Results: </strong>The 24-h TWA-VAS scores were 1.84 ± 1.02 in the OFA group and 1.77 ± 0.88 in the OA group (mean difference: 0.07; 95% CI: -0.33-0.47), establishing non-inferiority. The OFA group experienced significantly lower rates of intraoperative hypotension (8.9% vs. 53.3%; relative risk: 0.17; P = 0.001) but longer laryngeal mask airway removal time (20 vs. 15 min; P = 0.034) and post-anesthesia care unit stay (50 vs. 45 min; P = 0.018). No significant differences were observed in Quality of Recovery-15 scores, rescue analgesia requirements, postoperative urinary retention (POUR), postoperative nausea and vomiting (PONV), or 24-h discharge success rates.</p><p><strong>Conclusion: </strong>Under ERAS protocol, lidocaine-dexmedetomidine-based OFA provided non-inferior analgesic efficacy to OA for day surgery LIHR, while delivering superior hemodynamic stability. Despite modestly prolonged emergence times, OFA maintained comparable recovery quality and discharge success rates. These findings establish OFA as a valuable alternative anesthetic strategy for day surgery LIHR under ERAS protocol, particularly for patients at risk of opioid-related adverse effects.</p><p><strong>Trial registration: </strong>ChiCTR2500098054, registered on February 28, 2025, retrospectively registered.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"225"},"PeriodicalIF":2.6,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144591149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shorter operative times following robotic-assisted transabdominal preperitoneal inguinal hernia repair (TAPP) compared to laparoscopic TAPP: the Danish Inguinal Randomized Controlled Trial (DIRECT).","authors":"Dinan Arunthavanathan, Rockson Liu, Ihsan Inan, Mehmet Oztoprak, Michael Festersen Nielsen","doi":"10.1007/s10029-025-03402-y","DOIUrl":"10.1007/s10029-025-03402-y","url":null,"abstract":"<p><strong>Background: </strong>Despite the perception of higher procedural costs and longer operative time, robotic-assisted inguinal hernia repair has emerged as an alternative to the laparoscopic procedure. The present study was conducted to determine the time required for robotic and laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair and to determine whether these time profiles differ between the two groups.</p><p><strong>Method: </strong>One hundred thirty-eight patients were randomized to a robotic-assisted r-TAPP (n = 74; 54%) or a laparoscopic l-TAPP (n = 64; 46%) procedure by experienced surgeons. The hernia defect was classified as either simple or complicated according to hernia size, involvement of the scrotum, and whether the hernia was a primary defect, a recurrence, or a bilateral defect.</p><p><strong>Results: </strong>Time from intubation to skin closure (P < 0.05) and from air insufflation to removal of instruments (P < 0.05) were shorter for the r-TAPP than for the l-TAPP procedure. This difference was observed for both simple and complex hernias, the difference between groups being larger for the complicated than for the simple defects. The analysis demonstrated that an additional 5 min were needed to dock the robotic platform and place the instruments. Despite this delay, the time required for the procedure remained shorter for the r-TAPP than for the l-TAPP repair.</p><p><strong>Conclusion: </strong>Robotic-assisted inguinal hernia repair is associated with a shorter operative time than conventional laparoscopy. While the time required for docking and instrument placement caused a minor delay of the procedure, the operating time for the robotic repair was shorter than for the laparoscopic procedure.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"227"},"PeriodicalIF":2.6,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12241199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144591150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Small bowel perforation into the retro-rectus space following eTEP Rives-Stoppa repair for incisional hernia: a rare and life-threatening complication.","authors":"Toshiro Tanioka, Keisuke Okuno, Masanori Tokunaga, Yusuke Kinugasa","doi":"10.1007/s10029-025-03407-7","DOIUrl":"https://doi.org/10.1007/s10029-025-03407-7","url":null,"abstract":"<p><strong>Background: </strong>The enhanced totally extraperitoneal (eTEP) Rives-Stoppa repair is increasingly adopted for incisional hernia repair due to its minimally invasive approachand favorable outcomes. However, rare but severe complications, such as small bowel perforation into the retro-rectus space, may occur, necessitating prompt recognitionand management.</p><p><strong>Case presentation: </strong>An 80-year-old male underwent eTEP Rives-Stoppa repair for an EHS L2 incisional hernia, involving retro-rectus dissection, transversus abdominis release, and mesh placement. On postoperative day 1, he developed hypotension and extensive subcutaneous ecchymosis, without abdominal pain or fever. Initial computed tomography (CT) revealed a retro-rectus fluid collection suggestive of hemorrhage. By day 2, repeat CT showed increased free air and enteric content, indicating bowel perforation. Emergency laparotomy confirmed a dehiscent posterior rectus sheath with a perforated small bowel segment protruding into the retro-rectus space. The mesh was removed, the affected bowel resected, and temporary abdominal closure was performed due to severe inflammation and edema. The postoperative course was complicated by recurrent bacteremia and abscesses, requiring prolonged antimicrobial therapy and intensive care. The patient recovered and was transferred to a rehabilitation facility six months later.</p><p><strong>Conclusions: </strong>This is the first reported case of small bowel perforation into the retro-rectus space following eTEP Rives-Stoppa repair. Contributing factors included advanced age, high tension in the posterior sheath, pre-existing bowel adhesions, and increased intra-abdominal pressure from postoperative coughing. Surgeons should maintain a high index of suspicion for this life-threatening complication, particularly in elderly or frail patients, and consider early imaging for atypical postoperative symptoms to enable timely intervention.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"223"},"PeriodicalIF":2.6,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144591151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Type of mesh and wall plane in prophylactic mesh after stoma closure: A network meta-analysis.","authors":"Camilo Ramírez-Giraldo, Sofía Santamaría-Forero, Isabella Van-Londoño, Jorge Navarro-Alean, Carlos Figueroa-Avendaño, Susana Rojas-López, Laura Carolina Camacho, Andrés Isaza-Restrepo","doi":"10.1007/s10029-025-03413-9","DOIUrl":"10.1007/s10029-025-03413-9","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>We included 11 included studies involving 2,148 patients. The use of prosthetic mesh (OR = 0.137, 95%CI 0.056-0.335), bioprosthetic mesh (OR = 0.171, 95%CI 0.061-0.473), and biological mesh (OR = 0.528, 95%CI 0.336-0.828) was associated with a lower risk of incisional hernia compared to no mesh use. Mesh placement in a retromuscular position (OR = 0.068, 95%CI 0.024-0.189), onlay position (OR = 0.224, 95%CI 0.095-0.524), and intraperitoneal position (OR = 0.564, 95%CI 0.366-0.869) was associated with a lower risk of incisional hernia compared to no mesh use. No statistically significant differences were observed in surgical site infection risk between the use of different mesh types or anatomical planes and no mesh placement.</p><p><strong>Conclusion: </strong>Prophylactic placement of prosthetic or bioprosthetic mesh in the retromuscular plane at the time of stoma closure is the most effective approach for reducing the incidence of incisional hernia and surgical site infection.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"228"},"PeriodicalIF":2.4,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12241242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144591152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}