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Updated: Feb 19, 2026
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
Mesh sutured repairs of contaminated incisional hernias
Gregory A Dumanian1, Steven T Lanier1, Jason M Souza1
1Divisions of Plastic Surgery, Northwestern Feinberg School of Medicine, United States.
Background:
We sought to evaluate the results of a new mesh sutured repair technique for closure of contaminated incisional hernias.
Methods:
48 patients with contaminated hernias 5 cm wide or greater by CT scan were closed with mesh sutures. Surgical site occurrence, infections, and hernia recurrence were compared to similar patient series reported in the literature.
Results:
Of the 48 patients, 20 had clean-contaminated wounds, 16 had contaminated wounds, and 12 were infected. 69% of the patients underwent an anterior perforator sparing components release for hernias that averaged 10.5 cm transversely (range 5 cm-25 cm). SSO occurred in 27% of patients while SSI was 19%. There were no fistulas or delayed suture sinuses. With a mean follow-up of almost 12 months, 3 midline hernias recurred (6%). In these same patients, three parastomal hernias repaired with mesh sutures failed out of 4 attempted for a total failure rate of 13%.
Conclusion:
Mesh sutured closure represents a simplified and effective surgical strategy for contaminated midline incisional hernia repair.
