Incisional Hernia: Open Techniques

Even with the routine use of mesh, repairing an incisional hernia is a challenge. Increasing evidence of impaired wound healing in these patients supports routine use of an open prefascial, retromuscular mesh repair. Basic pathophysiologic principles dictate that for a successful long‐term outcome a...

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Bibliographic Details
Published in:World journal of surgery 2005-08, Vol.29 (8), p.1066-1072
Main Authors: Klinge, Uwe, Conze, Joachim, Krones, Carsten J., Schumpelick, Volker
Format: Article
Language:English
Subjects:
Hernia, Ventral - surgery
Humans
Incisional Hernia
Incisional Hernia Repair
Mesh Repair
Nonabsorbable Suture
Prosthesis Implantation - methods
Recurrence
Surgical Mesh
Surgical Procedures, Operative - methods
Suture Repair
Wound Healing
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Summary:Even with the routine use of mesh, repairing an incisional hernia is a challenge. Increasing evidence of impaired wound healing in these patients supports routine use of an open prefascial, retromuscular mesh repair. Basic pathophysiologic principles dictate that for a successful long‐term outcome and prevention of recurrence a wide overlap underneath healthy tissue is required. The extent of this overlap should be 5 cm in all directions: surrounding the wound closure, subxiphoidal underneath the ribs, below the arcuate line, and retropubic.
ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-005-7970-2