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Incisional hernia repair.
1Department of General Surgery, Rush-Presbyterian-St. Luke's Medical Center, 1650 West Harrison Street, Chicago, IL 60612-3800, USA. Keith_Millikan@rush.edu
The Surgical Clinics of North America
|October 10, 2003
Summary
Incisional ventral hernia repair outcomes have improved with prosthetic mesh use, reducing recurrence rates significantly. Ongoing research addresses optimal surgical approaches and mesh fixation techniques for better patient results.
Area of Science:
- Abdominal surgery
- Hernia repair
- Surgical materials science
Background:
- Incisional ventral hernias are a frequent surgical challenge, with over 100,000 US annual repairs.
- Patient-related factors contribute to hernia development, but surgical techniques and materials can mitigate incidence.
Purpose of the Study:
- To review the current state of incisional ventral hernia repair.
- To highlight advancements in prosthetic mesh use and identify ongoing controversies in surgical approaches and fixation methods.
Main Methods:
- Literature review of incisional ventral hernia repair techniques.
- Analysis of outcomes associated with prosthetic mesh utilization in hernia repair.
Main Results:
- Prosthetic mesh use has decreased recurrence rates from over 10% to under 5% with intraperitoneal placement.
- Current debates focus on open versus laparoscopic approaches and partial versus full-thickness mesh fixation.
Conclusions:
- Prosthetic mesh has revolutionized incisional ventral hernia repair, significantly improving outcomes.
- Future research will likely resolve current controversies regarding optimal surgical strategy and fixation methods.