Surgery Today

, Volume 45, Issue 1, pp 121–124 | Cite as

Fascia lata onlay patch for repairing infected incisional hernias

  • Yuji Miyamoto
  • Masayuki Watanabe
  • Takatsugu Ishimoto
  • Yoshifumi Baba
  • Shiro Iwagami
  • Yasuo Sakamoto
  • Naoya Yoshida
  • Shinichi Masuguchi
  • Hironobu Ihn
  • Hideo Baba
How to Do It

Abstract

Abdominal incisional hernias represent the most common wound complication after abdominal surgery and infected abdominal incisional hernias are difficult to manage. We describe a simple, safe and effective method of using a free fascia lata patch to repair a large infected incisional hernia. This procedure involves the following steps: incising the skin and subcutaneous tissue and identifying the edges of the hernia defect; incising each anterior rectus sheath and completely suturing the medial edges of the fascia with 0 polypropylene; creating a fascia lata patch; and overlapping the defect in the anterior rectus fascia with the fascia lata patch as an onlay graft to reinforce the fascial closure. Five patients with infected hernias underwent this procedure, and all postoperative outcomes were satisfactory.

Keywords

Incisional hernia Autogenous patch Fascia lata 

Notes

Conflict of interest

We have no conflicts of interest.

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Copyright information

© Springer Japan 2014

Authors and Affiliations

  • Yuji Miyamoto
    • 1
  • Masayuki Watanabe
    • 1
  • Takatsugu Ishimoto
    • 1
  • Yoshifumi Baba
    • 1
  • Shiro Iwagami
    • 1
  • Yasuo Sakamoto
    • 1
  • Naoya Yoshida
    • 1
  • Shinichi Masuguchi
    • 2
  • Hironobu Ihn
    • 2
  • Hideo Baba
    • 1
  1. 1.Department of Gastroenterological Surgery, Graduate School of Medical SciencesKumamoto UniversityKumamotoJapan
  2. 2.Department of Dermatology, Graduate School of Medical SciencesKumamoto UniversityKumamotoJapan

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