World Journal of Surgery

, Volume 29, Issue 8, pp 1066–1072 | Cite as

Incisional Hernia: Open Techniques

  • Uwe Klinge
  • Joachim Conze
  • Carsten J. Krones
  • Volker Schumpelick


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.


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Copyright information

© Société Internationale de Chirurgie 2005

Authors and Affiliations

  • Uwe Klinge
    • 1
  • Joachim Conze
    • 1
  • Carsten J. Krones
    • 1
  • Volker Schumpelick
    • 1
  1. 1.Surgical DepartmentRhenisch Westfalian Technical UniversityAachenGermany

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