Mesh versus suture repair of umbilical hernia in adults: a randomised, double-blind, controlled, multicentre trial. (Kaufmann et al. Lancet, 2018)

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BACKGROUND: Both mesh and suture repair are used for the treatment of umbilical hernias, but for smaller umbilical hernias (diameter 1-4 cm) there is little evidence whether mesh repair would be beneficial. In this study we aimed to investigate whether use of a mesh was better in reducing recurrence compared with suture repair for smaller […]

Prevention of incisional hernia with prophylactic onlay and sublay mesh reinforcement versus primary suture only in midline laparotomies (PRIMA): 2-year follow-up of a multicentre, double-blind, randomised controlled trial. (Jairam et al. Lancet, 2017)

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BACKGROUND: Incisional hernia is a frequent long-term complication after abdominal surgery, with a prevalence greater than 30% in high-risk groups. The aim of the PRIMA trial was to evaluate the effectiveness of mesh reinforcement in high-risk patients, to prevent incisional hernia. METHODS: We did a multicentre, double-blind, randomised controlled trial at 11 hospitals in Austria, […]

Long-term Results of a Randomized Double-blinded Prospective Trial of a Lightweight (Ultrapro) Versus a Heavyweight Mesh (Prolene) in Laparoscopic Total Extraperitoneal Inguinal Hernia Repair (TULP-trial). (Burgmans et al. Annals of Surgery, 2016)

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In de TULP trial hebben dr. Burgmans en collegae de uitkomsten van de Ultrapo mat vergeleken met de Prolene mat in TEP chirurgie. De studie werd in mei 2016 in de Annals of Surgery gepubliceerd. Een groep van 950 patiënten werd gerandomiseerd waarbij de helft behandeld werd met een Ultrapro mat en de andere helft […]