The international surgical journal with global reach

This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Prevention of fascial dehiscence with onlay prophylactic mesh in emergency laparotomy: a randomized clinical trial. J Am Coll Surg 2020; 230: 76-87.

Published: 16th September 2020

Authors: Lima HVG, Rassian R, Novo FCF, Bernini CO, Montero EFS, Utiyama EM et al.

Conclusion

A total of 115 procedures were included, mostly urgent colorectal resections. Surgical site infection was more common after mesh repair (20.6 versus 7.7 per cent, P=0.05), but mesh prevented subsequent fascial dehiscence for up to 30 days (none versus seven [13.5 per cent], P=0.003).

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