A study on prophylactic mesh placement in midline laparotomy for prevention of incisional hernia in high risk patient
Author(s): Chirayu Thakkar*
Abstract
Background:
Midline abdominal laparotomy is common and associated with incisional hernia, especially if associated with high-risk patients. The aim of this study was to evaluate the effectiveness of incisional hernia prevention with prophylactic mesh repair in midline elective laparotomy patients. The present study included 25 adult patients undergoing elective, midline open laparotomy with risk factors to open surgery. Result was a decrease in incidence of incisional hernia to 4%. Postoperative complications involved incisional hernia, seroma, hematoma and chronic wound pain. It was concluded that prophylactic mesh placement in midline incision laparotomy is effective and safe for high risk patients and patients with co-morbidities.