Prevention of fascial dehiscence with onlay prophylactic mesh in emergency laparotomy: a randomized clinical trial

HVG Lima, R Rasslan, FCF Novo, TMA Lima… - Journal of the American …, 2020 - Elsevier
Background Fascial dehiscence (FD) occurs in up to 14.9% of high-risk patients undergoing
emergency laparotomy. Although prophylactic mesh can prevent FD, its use in emergency
operations remains controversial. Study Design A prospective randomized clinical trial was
conducted at the Hospital das Clínicas from Faculdade de Medicina da Universidade de
São Paulo in Brazil. It was performed among high-risk patients, defined according to
Rotterdam risk model, undergoing midline emergency laparotomy. The patients were …
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