title: [Technical principles of incisional hernia surgery].
abstract: Many publications are available on the best surgical techniques and treatment of incisional hernias with reports of experiences and randomized clinical studies at the two extremes of the evidence scale. The ultimate proof of the best operative technique has, however, not yet been achieved. In practically no other field of surgery are the variability and the resulting potential aims of surgery so great. The aim of surgery is to provide patients with the optimal recommendation out of a catalogue of possibilities from a holistic perspective. This article describes the surgical techniques using meshes for strengthening (in combination with an anatomical reconstruction) and for replacement of the abdominal wall (with bridging of the defect).
authors.affiliation: Klinik und Poliklinik für Allgemein-, Viszeral-, Gefäß- und Kinderchirurgie, Universitätsklinikum Würzburg, Oberdürrbacher Strasse 6, 97080, Würzburg, Deutschland. dietz_u@ukw.de.
authors.forename: U A
authors.initials: UA
authors.lastname: Dietz
authors.affiliation: Department for General, Thoracic and Cardiovascular Surgery, AZ Maria Middelares, Buitenring Sint-Denijs 30, 9000, Ghent, Belgien.
authors.forename: F E
authors.initials: FE
authors.lastname: Muysoms
authors.affiliation: Klinik und Poliklinik für Allgemein-, Viszeral-, Gefäß- und Kinderchirurgie, Universitätsklinikum Würzburg, Oberdürrbacher Strasse 6, 97080, Würzburg, Deutschland.
authors.forename: C T
authors.initials: CT
authors.lastname: Germer
authors.affiliation: Klinik und Poliklinik für Allgemein-, Viszeral-, Gefäß- und Kinderchirurgie, Universitätsklinikum Würzburg, Oberdürrbacher Strasse 6, 97080, Würzburg, Deutschland.|Lehrstuhl für Biochemie und Mollekularbiologie, Universität Würzburg, Am Hubland, 97074, Würzburg, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Wiegering
mesh_terms: D034861:Abdominal Wall / Q000601:surgery*; D019072:Antibiotic Prophylaxis; D005839:Gentamicins / Q000008:administration & dosage; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D000069290:Incisional Hernia / Q000601:surgery*; D010353:Patient Education as Topic; D011182:Postoperative Care; D011183:Postoperative Complications / Q000209:etiology; D011300:Preoperative Care; D017568:Rectus Abdominis / Q000601:surgery; D012307:Risk Factors; D013526:Surgical Mesh
chemical_list: D005839:Gentamicins
keywords: Gentamicin; Hernia surgery; Incisional hernia; Meshes; Quality of life