Incisional hernia prevention and use of mesh. A narrative review

Abstract

Incisional hernias are a very common problem, with an estimated incidence around 15-20% of all laparotomies. Evisceration is another important problem, with a lower rate (2.5-3%) but severe consequences for patients. Prevention of both complications is an essential objective of correct patient treatment due to the improved quality of life and cost savings. This narrative review intends to provide an update on incisional hernia and evisceration prevention. We analyze the current criteria for proper abdominal wall closure and the possibility to add prosthetic reinforcement in certain cases requiring it. Parastomal, trocar-site hernias and hernias developed after stoma closure are included in this review.

Keywords: Eventración; Eventration; Hernia incisional; Incisional hernia; Malla profiláctica; Prevención; Prevention; Profilaxis; Prophylactic mesh; Prophylaxis; Prosthesis; Prótesis.