Prophylactic Mesh Placement Reduces the Incidence of Incisional Hernia in HBP Surgery.

Prophylactic Mesh Placement Reduces the Incidence of Incisional Hernia in HBP Surgery.

he goal of this observational study is to learn about prophylactic mesh placement in HBP incision. The main question it aims to answer is:

will the incisional hernia rate be reduced with the use of mesh during the abdominal wall closuer?

Inclusion Criteria:

• Patients aged 18 years or older.
• Elective conventional or extensive right subcostal laparotomy.
• Two or more risk Factor for incisional hernia (IH): > 60 years, Body Mass Index > 27 kg/m2, Diabetes Mellitus, pulmonary/liver/renal disease, malignancy, preoperative chemotherapy, immunosuppression or smoking5.
• Life expectancy of at least 12 months.
• Signed informed consent with agreement to attend all study visits.

Exclusion Criteria:

• Emergency surgery.
• Previous right subcostal hernia or right subcostal incision.
• Metastatic disease or irresectable malignancy identified during the surgery with life expectancy less than 12 months.
• Active abdominal infection at the time of surgery