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Related Experiment Video

Updated: Jun 21, 2026

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

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

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Retrorectus polyester mesh repair for midline ventral hernias.

A A Wheeler1, S T Matz, S L Bachman

  • 1Department of General Surgery, University of Missouri-Columbia, One Hospital Drive, Columbia, MO 65212, USA.

Hernia : the Journal of Hernias and Abdominal Wall Surgery
|July 11, 2009
PubMed
Summary

Retrorectus mesh repair effectively treats midline ventral hernias, showing durability over time. However, this technique is associated with a significant rate of wound complications.

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Area of Science:

  • General Surgery
  • Abdominal Wall Reconstruction

Background:

  • Midline ventral hernias are common surgical challenges.
  • Mesh repair techniques aim to reduce recurrence rates.

Purpose of the Study:

  • To evaluate the effectiveness and outcomes of retrorectus mesh repair for midline ventral hernias.

Main Methods:

  • Retrospective review of 90 patients undergoing retrorectus mesh repair between 1991 and 2005.
  • Standardized technique using polyester (Mersilene) mesh with a minimum 5-cm overlap.

Main Results:

  • A 7% hernia recurrence rate was observed at a mean follow-up of 53 months.
  • Major postoperative complications occurred in 26% of patients, including wound infections and fascial dehiscence.

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Last Updated: Jun 21, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
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Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
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Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

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Transvaginal Mesh Insertion in the Ovine Model
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Transvaginal Mesh Insertion in the Ovine Model

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  • Ten percent of patients required reoperation due to complications such as skin flap necrosis.
  • Conclusions:

    • Retrorectus repair with polyester mesh offers an effective and durable solution for midline ventral hernias.
    • A notable drawback of this method is the high incidence of wound complications.