Table 1.
Characteristics of the included studies.
| Author Table 1: Characteristics of the included studies |
Inclusion criteria | No. of Patients (%) | CDC wound Class (%) | SSI rate (%) | Intervention |
|---|---|---|---|---|---|
| Studies evaluating mesh or suture repair in complicated vrentral hernia | |||||
| Abdel-Baki 2007 [26] |
Complicated Paraumbilical hernia | M: 21(50) S: 21(50) |
I: M 18 S 18 II-III: M 3(14,3) S 3(14,3) |
M: 2 (9.5) S: 3 (14.3) |
M: On-lay monofilament polypropylene mesh repair S: Keel repair |
| Haskins 2013 [16] | Ventral Hernia hernia with or without resection of gangrenous bowel | M: 700 [29] S: 1749 (71) |
II: M 418 (30.8) S 939 (69.2) III: M 162 (27.6) S 425 (72.4) IV: M 120(23.8) S 385 (76.2) |
M: 91(13) S:197(11.2) |
Unclear |
| Bondre 2016 [32] | Complicated Ventral Hernia Umbilical(%): 267 [35] Incisional (%): 494 (65) |
M: SM:303 [40] BM:167 [22] S: 291 [38] |
I: SM 249 BM 86 S: 176 II: SM 50 BM 30 S: 90 III: SM 4 BM 37 S: 19 (6.5%) IV: BM 14 S: 6 (2.1%) |
S:44 (15.1) SM:54 (17.8) BM:35 [21] |
M: low-density and/or mid-density polypropylene repair (synthetic), and nonecross-linked biologic matrix repair (biologic) S: suture repair |
| Emile 2017 [6] | Ventral hernia with or without resection of gangrenous bowel Umbilical(%): 103 (84.4) Epigastric (%): 6 [5] Spigelian (%): 3 (2.4) Incisional (%): 10 (8.1) |
M: 66 (54) S: 56 (46) |
I: M 31 (47)M S 21 (37.5) II:M 33 (50) S 16 (28.5) III: M 2 [3] S 19 [34] |
M:5 (7.5) S: 3 (6.5) |
M: On-lay prosthetic polyprolene mesh repair S: Simple primary repair or Mayo's repair |
| Xourafas 2010 [30] |
Ventral Hernia with simultaneous Bowel Resection | M: 51 S: 126 |
Unclear | M:11(20) S: 6 (4.7) |
M: Polypropylene mesh in 74%, 10% Biological Mesh, 2% Absorbable Mesh, 2% Polyesyer Mesh, 6% other type of Mesh S: suture repair |
| Warren 2020 [25] | Contaminated Ventral Hernia | M: SM: 402 BSM:55 BM:38 S: 46 |
II: S: 15 (32.61) SM:212 (52.74) BSM:15 (27.27) BM:3 (7.89) III:S: 6 (13.04) SM:167 (41.54) BSM:22 [40] BM:19 (50) IV: S: 25(54.35) SM: 23 (5.72) BSM: 18(32.73) BM:16 (42.11) |
M: 89 [18] S:8 (17.4) |
Mesh position: Onlay 23 (4.25) Inlay 1 (0.18) Retromuscular 406 (75.05) Preperitoneal 29 (5.36) Intraperitoneal16 (2.96) |
| Studies evaluating mesh repair in different CDC wound classes | |||||
| Casas 2020 [31] | Abdominal wall repairs with polypropylene meshes in potentially contaminated fields | 69 | II: 33(47.8) III: 36(52.2) |
II: 3 [9] III:9 [25] |
Unclear |
| Bessa 2010 [27] | Ventral Hernia with or without resection of gangrenous bowel para-umbilical: 71 (88.75) epigastric 6 (7.5) incisional 3 (3.75) |
80 | I: 62 >I: 18 |
I:8 (15.6) >I: 1(3.4) |
M: On-lay prosthetic polyprolene mesh repair |
| Choi 2012 [33] |
Ventral Hernia hernia with or without resection of gangrenous bowel | ClassI: 29.931 (88) Class > I: 3901(12) |
I: 29.931 II: 3879 III: 22 |
II:1111(3.7) III:376 (9.6) |
Unclear |
| Carbonel 2013 [28] |
Clean-contaminated and contaminated Ventral hernia repair | 100 | II: 42 III: 58 |
II: 11 (26.1) III:20 (23.5) |
Polypropylene mesh in the retro-rectus position |
| Birolini 2019 [1] | Chronic mesh infection resulting from a previous hernia repair compared to a cohort of patients with clean ventral hernia repair. | Infected Mesh: 40(50) Clean control: 40 (50) |
I: 40(50) IV: 40(50) |
I:4 [10] IV:6 [15] |
The previous infected mesh removed entirely. -Monofilament polypropylene Mesh used in the onlay position |
| Studies evaluating different types of meshes | |||||
| Majumder 2016 [31] | ventral hernia repair in clean-contaminated/contaminated fields | SM:57 (45.2) BM:69 (54.8) |
II: BM: 41 (59.5) SM: 37 (64.9%) III: BM: 28 (40.5) SM: 20 (34.1) |
BM:22 (31.9) SM: 7 (12.3) |
Mesh position Sublay:BM 68 (98.6), SM 56 (98.2) Onlay: BM:0 (0.0); SM; 1 (1.8) Underlay: BM 1 (1.4); SM:0 (0.0) |
| Chamieh 2017 [29] | Ventral hernia in a Contaminated Field | SM:24 [41] BM:34 (59) |
II: SM: 10(41.7) BM: 17(50) III: SM: 8(33.3) BM: 10(9.4) IV: SM: 7(20.6) BM: 6(25) |
SM: 7(29.2) BM: 17 (50) |
Mesh location: Open Intraperitoneal Onlay Mesh:18 (53) Onlay: BM 6(17.6); SM 3(12.5) Retrorectus: BM 10(29.4); SM 21(87.5) |
M: Mesh repair; S: Suture repair, SM: Synthetic Mesh, BM: Biologic Mesh; BSM: Biosynthetic Mesh.