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Related Experiment Videos

Incisional hernia: open techniques.

Uwe Klinge1, Joachim Conze, Carsten J Krones

  • 1Surgical Department, Rhenisch Westfalian Technical University, Pauwelsstrass 30, Aachen, D 52074, Germany. Uklinge@ukaachen.de

World Journal of Surgery
|June 29, 2005
PubMed
Summary
This summary is machine-generated.

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Repairing incisional hernias with mesh remains challenging, especially with impaired wound healing. An open prefascial, retromuscular mesh repair with a 5 cm overlap is recommended for better long-term outcomes and reduced recurrence.

Area of Science:

  • Abdominal Surgery
  • Hernia Repair
  • Biomaterials in Surgery

Background:

  • Incisional hernia repair using mesh is common but presents challenges.
  • Impaired wound healing is increasingly recognized in patients undergoing hernia repair.
  • Optimal mesh placement is crucial for successful outcomes.

Purpose of the Study:

  • To evaluate the effectiveness of open prefascial, retromuscular mesh repair for incisional hernias.
  • To determine the required mesh overlap for preventing recurrence.
  • To provide evidence-based recommendations for mesh repair techniques.

Main Methods:

  • Review of pathophysiologic principles for hernia repair.
  • Analysis of factors influencing long-term outcomes and recurrence.

Related Experiment Videos

  • Definition of optimal mesh overlap dimensions and locations.

    • Main Results:

    • A wide mesh overlap is essential for successful long-term incisional hernia repair.
    • A 5 cm overlap in all directions (surrounding closure, subxiphoid, below arcuate line, retropubic) is indicated.
    • Open prefascial, retromuscular mesh placement is supported by evidence.

    Conclusions:

    • Routine use of open prefascial, retromuscular mesh repair is supported for incisional hernias.
    • A 5 cm mesh overlap is critical for preventing recurrence.
    • Addressing wound healing and ensuring adequate mesh coverage are key to successful repair.