[Retromuscular prosthetic repair: experience from France].
Large incisional hernias cannot be cured without prosthetic material. A large pore size prosthetic tissue seems to be the best alternative, since connective invasion of the mesh provides a very strong fixation of the prosthesis. In our view, the mesh should be placed in the rectus sheath, in a position we have described as "retromuscular prefascial". With this technique, a good result can be achieved in 98% of very large incisional hernias.
Flament
J B
JB
Service de Chirurgie Générale et Digestive, CHU Hôpital Robert Debré, Reims Cédex, Frankreich, Germany. jbflament@chu-reims.fr
Palot
J P
JP
Lubrano
D
D
Levy-Chazal
N
N
Concé
J P
JP
Marcus
C
C
D000009:Abdominal Muscles / Q000601:surgery*; D002921:Cicatrix / Q000601:surgery; D005602:France; D006555:Hernia, Ventral / Q000601:surgery*; D006801:Humans; D010537:Peritoneum / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*; D019736:Prostheses and Implants; D012086:Reoperation / Q000379:methods; D013526:Surgical Mesh; D013536:Suture Techniques; D014945:Wound Healing / Q000502:physiology