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Updated: Jun 16, 2026
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
Is repair of incisional hernias by polypropylene mesh a safe procedure?
Mehmet Yildirim1, Omer Engin, Mehmet Karademir
1Department of Surgery, Izmir Bozyaka Training Hospital, Izmir, Turkey. mehmetyildi@gmail.com
Objective:
The aim of our study was to evaluate the safety of the intraperitoneal mesh repair procedure and to assess the complications that develop after the procedure.
Subjects And Methods:
We reviewed the records of 25 patients who underwent intraperitoneal mesh repair procedures. Data on age, sex, size and cause of the hernia, postoperative mortality, and morbidity with special attention to complications were obtained from the medical records.
Results:
Of the 25 patients (7 males, 18 females), the original operation was cholecystectomy in 15 cases (60%), gynaecological surgery in 2, gastric surgery in 2, and umbilical hernia in 2. Incisions were midline in 20 cases (80%), transverse in 2 and laparoscopic port sites in 3 patients. The average size of the hernia was 150 cm(2). Local complications occurred in 4 (16%) patients. Postoperative complications included wound infection in 3 patients and haematoma in 1 patient. Postoperative hospital stay ranged from 3 to 25 days with a mean of 6 days. No recurrence developed during 28-month follow-up.
Conclusion:
The tension-free repair of incisional hernia with polypropylene mesh in intraperitoneal position is a safe and easy procedure with acceptable morbidity and no recurrence.
Insights
Intraperitoneal mesh repair for incisional hernias is a safe and effective procedure. This study found acceptable complication rates and no recurrence in 25 patients undergoing this tension-free repair.
Area of Science:
- General Surgery
- Abdominal Wall Reconstruction
Background:
- Incisional hernias are common complications following abdominal surgery.
- Mesh repair is a standard treatment, but intraperitoneal placement requires careful evaluation.
Purpose of the Study:
- To assess the safety and complication profile of intraperitoneal mesh repair for incisional hernias.
- To evaluate the efficacy of this technique in preventing hernia recurrence.
Main Methods:
- Retrospective review of 25 patients who underwent intraperitoneal mesh repair.
- Data collected included patient demographics, hernia characteristics, and postoperative outcomes.
- Complications and recurrence rates were meticulously documented.
Main Results:
- The study included 25 patients (7 male, 18 female) with a mean hernia size of 150 cm².
- Local complications occurred in 16% of patients (wound infection, hematoma).
- No hernia recurrence was observed during a 28-month follow-up period.
Conclusions:
- Tension-free repair of incisional hernias using polypropylene mesh in the intraperitoneal position is a safe and straightforward procedure.
- The technique demonstrates acceptable morbidity and excellent long-term durability with no recurrence.
