A prophylactic mesh should be placed at the primary stoma operation
Prophylactic onlay mesh reinforcement has the potential to become the standard treatment for high-risk patients undergoing midline laparotomy
“..prophylactic mesh placement reduces the rate of incisional hernia in high-risk groups with morbid obesity or aortic aneurysm, or colorectal surgery"
“A recent meta-analysis based on several RCTs showed that prophylactic use of mesh reinforcement of midline laparotomies significantly reduces the risk of incisional hernia after open AAA repair.”
In Patients treated for abdominal aortic aneurysm by open repair, prophylactic use of mesh reinforcement of midline laparotomies may be considered for patients at high risk of incisional hernia.
Prophylactic mesh in midline laparotomy in sublay technique after open AAA-Surgery is safe and effective in preventing the high prevalence of incisional hernias occurring after the surgery. This should be implemented.
“Prophylactic mesh augmentation appears effective and safe and can be suggested in high-risk patients, like aortic aneurysm surgery and obese patients.”
Prophylactic mesh augmentation for an elective midline laparotomy in a high-risk patient in order to reduce the risk of incisional hernia is suggested.