Related Experiment Video
Updated: Jul 12, 2026
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
[Reconstruction of incisional median hernia with retromuscular mesh and hernial sac]
Tivadar Bara1, Serban Bancu, István György-Fazakas
1Marosvásárhelyi Orvosi és Gyógyszerészeti Egyetem, II. Sz. Sebészeti Klinika. BaraTivadar@yahoo.com
Introduction:
one of the most frequent complications of a laparotomy is the development of an incisional hernia. Proper surgical technique can somewhat reduce the incidence, but it still remains a common sequel. Application of prolene mesh for the reconstruction of the abdominal wall with tension-free methods has excellent results.
Patients And Methods:
between 2001-2005, 50 abdominal wall reconstructions were performed using prolene mesh in sublay position including the peritoneal sac of the incisional hernia.
Results:
postoperative complication was found in one case only, namely a haematoma was formed in the rectus sheat possibly due to an injury of a branch of the inferior epigastric artery. The haematoma was managed non-operatively by suction drainage. No postoperative respiratory problems were detected; all we noticed was minimal abdominal pain. Patients were mobilized shortly after the surgery.
Conclusions:
application of prolene mesh in sublay position including the hernia sac is an effective alternative procedure for preventing postoperative complications, when large incisional hernias are repaired in median laparotomy scars.
