• A Caro-Tarrago, C Olona Casas, A Jimenez Salido, E Duque Guilera, F Moreno Fernandez, and V Vicente Guillen.
• General and Digestive Surgery Service, Parc Taulí University Hospital, Parc Taulí s/n, 08208, Sabadell, Barcelona, Spain, dra5028@gmail.com.
• World J Surg. 2014 Sep 1;38(9):2223-30.

ObjectiveOur objective was to evaluate the prevention of incisional hernia (IH) during the postoperative period of a midline laparotomy during elective surgery.Material And MethodsA controlled, prospective, randomized, and blind study was carried out. The patients in group A (mesh) were fitted with a polypropylene mesh, to reinforce the standard abdominal wall closure. The patients in group B (non-mesh) underwent a standard abdominal wall closure and were not fitted with the mesh.ResultsIn group A, 2/80 his were diagnosed, whereas in group B the number was 30/80. The Kaplan-Meier survival curves show that the likelihood of IH at 12 months is 1.5 % in group A compared with 35.9 % in group B (p < 0.0001), which means that the differences are statistically significant.ConclusionFitting a prophylactic supra-aponeurotic mesh prevents IH independently of other factors.

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