This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS
Short-term results of a randomized controlled trial comparing primary suture with primary glued mesh augmentation to prevent incisional hernia. Ann Surg 2015; 261: 276-281.
Published: 23rd June 2015
Authors: Timmermans L, Eker H, Steyerberg EW, Jairam A, de Jong D, Pierik EGJM et al. et al.
Conclusion
Some 480 patients with a midline laparotomy were randomized to suture repair, or augmented repair with either sublay or onlay mesh. Clinical outcomes to one month were similar, but more patients who had onlay mesh developed a seroma (18.1 per cent), compared with sublay mesh (13.7 per cent) or primary suture (2.9 per cent); P=0.002.
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