KQ5a Is mesh augmentation beneficial for closure of elective laparotomies?

Statement: Mesh augmentation after suture closure of a midline abdominal incision reduces the rate of incisional hernia compared with primary suture closure. Studies do not show an increased risk of surgical-site infection. Data on burst abdomen and postoperative pain are limited. Currently, there are no data on mesh augmentation versus primary suture closure of non-midline abdominal incisions.

Recommendation: Prophylactic mesh augmentation after elective midline laparotomy can be considered to reduce the risk of incisional hernia.

Quality of evidence: XX00 (low)

Strength of recommendation: Weak