10 -3 (89) 2026 - Sh.T. Abdurakhimov, O.T. Nuritdinov - THE MODERN SIGNIFICANCE OF PROPHYLACTIC MESH IMPLANTATION IN THE PREVENTION OF INCISIONAL HERNIAS AFTER MIDLINE LAPAROTOMY

THE MODERN SIGNIFICANCE OF PROPHYLACTIC MESH IMPLANTATION IN THE PREVENTION OF INCISIONAL HERNIAS AFTER MIDLINE LAPAROTOMY

Sh.T. Abdurakhimov - Andijan State Medical Institute

O.T. Nuritdinov - Andijan State Medical Institute

J.S. Kuchkarov - Andijan State Medical Institute

B.J. Rakhmanov - Andijan State Medical Institute

Resume

Incisional hernias are among the most common late complications following midline laparotomy, negatively affecting patients’ quality of life and increasing the need for reoperations. In recent years, prophylactic mesh implantation has been considered an effective strategy aimed at improving the biomechanical stability of the abdominal wall and reducing the risk of hernia development. This article analyzes modern preventive approaches based on prophylactic mesh augmentation, optimization of fascial closure techniques, biomechanical principles, infection control, and individualized risk assessment. Literature analysis demonstrates that the use of prophylactic mesh, particularly in high-risk patients, significantly reduces the incidence of incisional hernias.

Keywords: incisional hernia, prophylactic mesh, laparotomy, abdominal wall.

First page

56

Last page

63

For citation:Sh.T. Abdurakhimov, O.T. Nuritdinov, J.S. Kuchkarov, B.J. Rakhmanov - THE MODERN SIGNIFICANCE OF PROPHYLACTIC MESH IMPLANTATION IN THE PREVENTION OF INCISIONAL HERNIAS AFTER MIDLINE LAPAROTOMY//New Day in Medicine 3(89)2026 56-63 https://newdayworldmedicine.com/en/new_day_medicine/3-89-2026

List of References

  1. Muysoms FE, et al. Prevention of incisional hernias by prophylactic mesh-augmented reinforcement of midline laparotomies for abdominal aortic aneurysm treatment: a randomized controlled trial. Ann Surg. 2016;263(4):638–645. doi:10.1097/SLA.0000000000001205
  2. Fabregó B, Miralpeix E. Prophylactic mesh to prevent incisional hernia in laparotomy for ovarian tumors. Eur J Surg Oncol. 2024;34(10):1596–1602. doi: 10.1016/j.ejso.2024.03.012
  3. Deerenberg EB, et al. Small bites versus large bites for closure of abdominal midline incisions (STITCH): a double-blind, multicentre, randomised controlled trial. Lancet. 2015;386(10000):1254–1260. doi:10.1016/S0140-6736(15)00149-6
  4. Ahmed J, et al. Prophylactic mesh placement for the prevention of incisional hernia in high-risk patients after abdominal surgery: a systematic review and meta-analysis. Cureus. 2020;12(9):e10491. doi:10.7759/cureus.10491
  5. Fortelny R, Muysoms FE, Antoniou SA, et al. European Hernia Society guidelines on the closure of abdominal wall incisions. Hernia. 2015;19(1):1–24. doi:10.1007/s10029-014-1308-z
  6. Timmermans L, et al. Meta-analysis of primary mesh augmentation as prophylactic measure to prevent incisional hernia. Dig Surg. 2013;30(4–6):401–409. doi:10.1159/000354714
  7. El-Khadrawy OH, et al. Prophylactic prosthetic reinforcement of midline abdominal incisions in high-risk patients. Hernia. 2009;13(3):267–274. doi:10.1007/s10029-009-0504-5
  8. van den Berg R, et al. Protocol for an independent patient data meta-analysis of prophylactic mesh placement for incisional hernia prevention after abdominal aortic aneurysm surgery: I-PREVENT-AAA. BMJ Open. 2024;14(4):e081046. doi:10.1136/bmjopen-2023-081046
  9. Muysoms FE, et al. European Hernia Society guidelines on the closure of abdominal wall incisions. Hernia. 2015;19(1):1–24. doi:10.1007/s10029-014-1308-z
  10. Muysoms F. Prevention of incisional hernias of the abdominal wall. 2015. (monograph/lecture; DOI не установлен)

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