Hernia Research Today is a free monthly online journal that collates and summarizes the latest research about Hernia, including details on hiatal, inguinal, umbilical, abdominal, treatment.

Incisional hernia: open techniques.

Klinge U, Conze J, Krones CJ, Schumpelick V

Surgical Department, Rhenisch Westfalian Technical University, Pauwelsstrass 30, Aachen, D 52074, Germany. Uklinge@ukaachen.de

Even with the routine use of mesh, repairing an incisional hernia is a challenge. Increasing evidence of impaired wound healing in these patients supports routine use of an open prefascial, retromuscular mesh repair. Basic pathophysiologic principles dictate that for a successful long-term outcome and prevention of recurrence a wide overlap underneath healthy tissue is required. The extent of this overlap should be 5 cm in all directions: surrounding the wound closure, subxiphoidal underneath the ribs, below the arcuate line, and retropubic.

Published 6 October 2005 in World J Surg, 29(8): 1066-72.
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