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FEBRUARY 5, 2019

Prophylactic Mesh Reduces Hernias, but Not Without Trade-offs

Study in Patients at High Risk for Incisional Hernias

By Christina Frangou
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Prophylactic intraperitoneal mesh implantation reduces hernia incidence but also brings increased early postoperative pain and prolonged wound healing after surgical site infections, according to a randomized clinical trial in patients with an elevated risk for incisional hernias.

The results were published online in JAMA Surgery ([Epub Nov 21, 2018]. doi: 10.1001/jamasurg.2018.4221).

Unlike other studies of prophylactic mesh, this trial focused on patients who had an