[Standardized sublay technique in polypropylene mesh repair of incisional hernia. A prospective clinical study].
BACKGROUND
With the introduction of meshes to support hernia repairs the recurrence rates were reduced from 50% to less than 10%. Special complications such as scar plates with restriction of the mobility of the abdominal wall, pain and fistula formation are described.


METHODS
In a prospective study trial 38 patients with incisional hernia were treated with Marlex mesh repair in the standard sublay technique.


RESULTS
Within a mean follow-up period of 3 years most of the patients were free from pain and very satisfied. Two recurrences (5.2%) occurred and 2 hematomas (5.2%) had to be removed surgically.


CONCLUSIONS
Using a standard operation technique with the mesh in sublay position, even with heavy-weight Marlex mesh, good clinical results can be achieved compared to published findings. To our surprise we found two central recurrences through the mesh.
Langer
C
C
Klinik und Poliklinik für Allgemeinchirurgie, Georg-August-Universität Göttingen. Langer@med.uni-goettingen.de
Neufang
T
T
Kley
C
C
Schönig
K H
KH
Becker
H
H
D000328:Adult; D000368:Aged; D002921:Cicatrix / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006555:Hernia, Ventral / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011126:Polypropylenes; D011183:Postoperative Complications / Q000601:surgery*; D011446:Prospective Studies; D012008:Recurrence; D012086:Reoperation; D013526:Surgical Mesh
D011126:Polypropylenes