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Related Experiment Video

Updated: Feb 25, 2026

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
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INCISIONAL HERNIA THROUGH NONVERTICAL INCISIONS.

S Chawla1, Gurjit Singh2

  • 1Classified Specialist (Surgery), 172 Military Hospital C/O 56 APO.

Medical Journal, Armed Forces India
|August 10, 2017
PubMed
Summary
This summary is machine-generated.

Incisional hernias can develop after nonvertical surgical incisions. Merselene mesh hernioplasty is a successful repair for large defects, showing a low recurrence rate of 6.6%.

Keywords:
Incisional HerniaMerselene meshMonofilament nylonNonvertical incisions

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Area of Science:

  • Surgical Oncology
  • Abdominal Surgery
  • Hernia Repair

Background:

  • Incisional hernias are uncommon complications following surgical procedures.
  • They can occur even with non-vertical incisions, such as subcostal, gridiron, or Pfannenstiel approaches.
  • Wound complications and increased suture line strain are common contributing factors.

Purpose of the Study:

  • To investigate the occurrence and management of incisional hernias through nonvertical incisions.
  • To evaluate the efficacy of different surgical repair techniques, including mesh hernioplasty.

Main Methods:

  • A study of 15 patients aged 22-65 with incisional hernias through nonvertical incisions.
  • Analysis of hernia types, including those from subcostal, gridiron, Pfannenstiel, and lumbar incisions.
  • Surgical repair methods included anatomical repair for small defects and Prolene or Merselene mesh hernioplasty for larger defects.

Main Results:

  • Majority of hernias were linked to wound complications and suture line stress.
  • Anatomical repair was suitable for small defects.
  • Mesh hernioplasty, particularly with Merselene mesh for large defects, demonstrated success.
  • One patient with a giant incisional hernia underwent successful repair with Merselene mesh using inlay and onlay techniques.

Conclusions:

  • Incisional hernias through nonvertical incisions can be effectively managed.
  • Merselene mesh is an excellent material for bridging large tissue gaps in hernia repair.
  • Mesh hernioplasty offers a successful solution for large musculoaponeurotic defects, with a low recurrence rate observed (6.6% in this study).