Incisional hernia: open techniques.
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.
Klinge
Uwe
U
Surgical Department, Rhenisch Westfalian Technical University, Pauwelsstrass 30, Aachen, D 52074, Germany. Uklinge@ukaachen.de
Conze
Joachim
J
Krones
Carsten J
CJ
Schumpelick
Volker
V
D006555:Hernia, Ventral / Q000601:surgery*; D006801:Humans; D019919:Prosthesis Implantation / Q000379:methods*; D012008:Recurrence; D013526:Surgical Mesh; D013514:Surgical Procedures, Operative / Q000379:methods; D014945:Wound Healing