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The Prevention of Incisional Hernia

  • Y. Yurtkap
  • E. B. Deerenberg
  • J. J. Jeekel
  • J. F. Lange
Chapter

Abstract

Incisional hernia is a commonly occurring long-term complication following laparotomies. Risk factors for the development of incisional hernia may be divided into patient related risk factors and surgery related risk factors. Optimizing surgical techniques and used materials to close abdominal wall incisions hold the potential of preventing the development of incisional hernia, reducing postoperative disability and saving costs in the healthcare system. The surgical techniques and used suture materials for closing abdominal wall incisions are important determinative factors in preventing incisional hernia and will be discussed in this chapter. Furthermore, the placement of a prophylactic mesh in order to prevent an incisional hernia in high risk patients and optimization of patients pre-, peri- and postoperatively will be discussed.

Keywords

Incisional hernias Prevention Suture techniques Suture materials Prophylactic mesh Patient optimization 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Y. Yurtkap
    • 1
  • E. B. Deerenberg
    • 1
  • J. J. Jeekel
    • 1
  • J. F. Lange
    • 2
  1. 1.Department of SurgeryErasmus MCRotterdamThe Netherlands
  2. 2.Department of NeuroscienceErasmus MCRotterdamThe Netherlands

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