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Summary
This study details surgical repair for complex large incisional hernias, often following multiple prior operations. Good outcomes were achieved through abdominal wall reconstruction, with decompression sutures or mesh for tension relief.
Area of Science:
- Abdominal surgery
- Hernia repair
- Surgical reconstruction
Background:
- Large incisional hernias present significant surgical challenges.
- Many patients have a history of multiple previous abdominal surgeries.
- Comorbidities like obesity and pendulous abdomen complicate hernia repair.
Purpose of the Study:
- To evaluate the outcomes of surgical repair for large incisional hernias.
- To assess the effectiveness of specific techniques in complex cases.
- To report on a large cohort treated over 18 years.
Main Methods:
- Surgical treatment of several hundred patients with large incisional hernias.
- Procedures often performed after 3-5 prior operations.
- Reconstructive techniques including decompression sutures and mesh implantation were utilized.
Main Results:
- Good surgical outcomes were achieved in the majority of patients.
- Anatomic and plastic reconstruction of the abdominal wall was key.
- Decompression sutures or knitted nets effectively managed suture line tension.
Conclusions:
- Surgical repair of large incisional hernias, even after multiple previous operations, can yield good results.
- Abdominal wall reconstruction is crucial for successful outcomes.
- Techniques like decompression sutures and mesh implantation are valuable adjuncts for managing tension.