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Incisional abdominal hernia: the open mesh repair
V Schumpelick1, U Klinge, K Junge
1Department of Surgery, University Hospital, RWTH Aachen, Pauwelsstrasse 30, 52074 Aachen, Germany. vschumpelick@ukaachen.de
Langenbeck'S Archives of Surgery
|January 28, 2004
Summary
Open mesh repair using polypropylene prostheses in the retromuscular sublay technique offers excellent results for incisional hernia treatment. This method facilitates proper tissue integration and reduces recurrence rates, even long-term.
Area of Science:
- Surgical innovation in hernia repair.
- Biomaterials in medical prosthetics.
Background:
- Incisional hernias require repair due to unstable scar tissue formation.
- Mesh techniques are the standard for incisional hernia repair.
Purpose of the Study:
- To review materials and techniques for incisional hernia repair.
- To detail a specific retromuscular sublay operative technique.
Main Methods:
- Review of materials and techniques for incisional hernia repair.
- Detailed description of the retromuscular sublay operative technique.
- Discussion of repair pitfalls and mesh overlap considerations.
Main Results:
- Polypropylene meshes are widely used for open repair.
- Modern low-weight, large-pore polypropylene prostheses enhance tissue integration.
- These meshes promote scar net formation, avoiding complications associated with stiff scar plates.
Conclusions:
- The retromuscular sublay position is ideal for mesh placement.
- This technique demonstrates the lowest recurrence rates, even after long-term follow-up.
- Adequate mesh size (5-6 cm overlap) is crucial for optimal outcomes.