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Related Concept Videos

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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Related Experiment Video

Updated: Jul 3, 2026

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
05:15

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Published on: December 23, 2022

Open surgical procedures for incisional hernias.

Dennis den Hartog1, Alphons H M Dur, Wim E Tuinebreijer

  • 1Surgery, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 's Gravendijkwal 230, Rotterdam, Netherlands, 3000 CA.

The Cochrane Database of Systematic Reviews
|July 23, 2008
PubMed
Summary

Open mesh repair for incisional hernias shows fewer recurrences than suture repair but higher infection rates. Evidence is insufficient for optimal mesh type or component separation technique.

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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

Related Experiment Videos

Last Updated: Jul 3, 2026

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
05:15

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Published on: December 23, 2022

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
10:52

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

Area of Science:

  • Surgical Oncology
  • Abdominal Surgery
  • Hernia Repair

Background:

  • Incisional hernias are common post-abdominal surgery complications.
  • High recurrence rates (up to 54%) make open operative repair choices controversial.

Purpose of the Study:

  • To identify the best open operative techniques for incisional hernias.
  • Evaluate different open repair methods for efficacy and complication rates.

Main Methods:

  • Systematic review of randomized trials from 1990-2007.
  • Searched MEDLINE, EMBASE, LILACS, and CENTRAL databases.
  • Pooled data using fixed effects model for relative risk and weighted mean difference.

Main Results:

  • Open mesh repair superior to suture repair for recurrence, but with increased wound infection.
  • No significant difference in recurrence between onlay and sublay mesh positions.
  • Skin autograft showed less pain than standard mesh but similar recurrence and infection rates.

Conclusions:

  • Open mesh repair is better than suture repair for reducing incisional hernia recurrence.
  • Insufficient evidence exists to recommend specific mesh types, mesh positions (onlay/sublay), or the components separation technique.