Efficacy and Safety of Prophylactic Mesh Reinforcement for the Prevention of Incisional Hernia: An Umbrella Review of Meta-Analyses

Prophylactic mesh reinforcement is associated with a reduced likelihood of incisional hernia but an increased risk of seroma and surgical site infection. Its use should be considered selectively in high-risk patients, balancing potential benefits against known complications. Further studies are needed to optimize patient selection and evaluate strategies to reduce mesh-related adverse outcomes, as well as to assess cost-effectiveness and quality-of-life outcomes.

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Publication Details

Journal
Journal of Abdominal Wall Surgery
Published
2026-02-23
DOI
https://doi.org/10.3389/jaws.2026.15631
Primary Topic
Hernia repair and management
Type
article
Field-Weighted Citation Impact
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article

Efficacy and Safety of Prophylactic Mesh Reinforcement for the Prevention of Incisional Hernia: An Umbrella Review of Meta-Analyses

Ricardo Reynoso González, Gloria Valeria Martinez Gonzalez, César Valencia, Luis A. Martín-del-Campo et al.
Journal of Abdominal Wall Surgery
Hernia repair and management
article

Efficacy and Safety of Prophylactic Mesh Reinforcement for the Prevention of Incisional Hernia: An Umbrella Review of Meta-Analyses

Ricardo Reynoso González, Gloria Valeria Martinez Gonzalez, César Valencia, Luis A. Martín-del-Campo, Luis Alberto Fernández-Vázquez-Mellado, Edgard Efren Lozada Hernandez, Marian Serna Murga, Hector Ali Valenzuela Alpuche, H. Alejandro Rodríguez, Enrique Ricardo Jean Silver
article en

Abstract

Prophylactic mesh reinforcement is associated with a reduced likelihood of incisional hernia but an increased risk of seroma and surgical site infection. Its use should be considered selectively in high-risk patients, balancing potential benefits against known complications. Further studies are needed to optimize patient selection and evaluate strategies to reduce mesh-related adverse outcomes, as well as to assess cost-effectiveness and quality-of-life outcomes.

Journal of Abdominal Wall SurgeryVol. 5
Universidad Anáhuac México Sur (MX), Hernia Center (US), Hospital Carmen y Severo Ochoa (ES), Centro Médico ABC (MX), Hospital Regional de Alta Especialidad del Bajío (MX), Harare Central Hospital (ZW), Tecnológico de Monterrey (MX)
Openalex Percentile: Top 47%
Hernia repair and management
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