Advertisement

Abdominal Wall Spaces for Mesh Placement: Onlay, Sublay, Underlay

  • Gina L. AdralesEmail author
Chapter

Abstract

Ventral hernia is a common problem and may be addressed with a number of operative techniques. The optimal positioning of prosthetic mesh has not been established definitively, lending itself to the discretion of the surgeon. These options of onlay, sublay, and underlay mesh placement are discussed along with the associated outcomes as demonstrated in the current surgical literature.

Keywords

Hernia Herniorrhaphy Ventral Incisional Mesh Onlay Sublay Underlay Retrorectus Recurrence 

References

  1. 1.
    Burger JWA, Halm JA, Wisjmuller AR, ten Raa S, Jeekel J. Evaluation of new prosthetic meshes for ventral hernia repair. Surg Endosc. 2006;20:1320–5.CrossRefPubMedGoogle Scholar
  2. 2.
    Cassar K, Munro A. Surgical treatment of incisional hernia. Br J Surg. 2002;89:534–45.CrossRefPubMedGoogle Scholar
  3. 3.
    Poulose BK, Shelton J, Phillips S, Moore D, Nealon W, Penson D, Beck W, Holzman MD. Epidemiology and cost of ventral hernia repair: making the case for hernia research. Hernia. 2012;16(2):179–83.CrossRefPubMedGoogle Scholar
  4. 4.
    Burger JW, Luijendijk RW, Hop WC, Halm JA, Verdaasdonk EG, Jeekel J. Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg. 2004;240(4):578–83.PubMedPubMedCentralGoogle Scholar
  5. 5.
    Muysoms F, Campanelli G, Champault GG, DeBeaux AC, Dietz UA, Jeekel J, Klinge U, Köckerling F, Mandala V, Montgomery A, Morales Conde S, Puppe F, Simmermacher RK, Śmietański M, Miserez M. EuraHS: the development of an international online platform for registration and outcome measurement of ventral abdominal wall hernia repair. Hernia. 2012;16(3):239–50.CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Ventral Hernia Working Group, Breuing K, Butler CE, Ferzoco S, Franz M, Hultman CS, Kilbridge JF, Rosen M, Silverman RP, Vargo D. Incisional ventral hernias: review of the literature and recommendations regarding the grading and technique of repair. Surgery. 2010;148(3):544–58.CrossRefGoogle Scholar
  7. 7.
    Hawn MT, Snyder CW, Graham LA, Gray SH, Finan KR, Vick CC. Long-term follow-up of technical outcomes for incisional hernia repair. J Am Coll Surg. 2010;210(5):648–55.CrossRefPubMedGoogle Scholar
  8. 8.
    de Vries Reilingh TS, van Geldere D, Langenhorst B, de Jong D, van der Wilt GJ, van Goor H, Bleichrodt RP. Repair of large midline incisional hernias with polypropylene mesh: comparison of three operative techniques. Hernia. 2004;8(1):56–9.CrossRefPubMedGoogle Scholar
  9. 9.
    Timmermans L, de Goede B, van Dijk SM, Kleinrensink GJ, Jeekel J, Lange JF. Meta-analysis of sublay versus onlay mesh repair in incisional hernia surgery. Am J Surg. 2014;207(6):980–8.CrossRefPubMedGoogle Scholar
  10. 10.
    Rives J, Lardennois B, Pire JC, Hibon J. Large incisional hernias. The importance of flail abdomen and of subsequent respiratory disorders. Chirurgie. 1973;99(8):547–63.PubMedGoogle Scholar
  11. 11.
    Stoppa RE. The treatment of complicated groin and incisional hernias. World J Surg. 1989;13(5):545–54.CrossRefPubMedGoogle Scholar
  12. 12.
    Iqbal CW, Pham TH, Joseph A, Mai J, Thompson GB, Sarr MG. Long-term outcome of 254 complex incisional hernia repairs using the modified Rives-Stoppa technique. World J Surg. 2007;31(12):2398–404.CrossRefPubMedGoogle Scholar
  13. 13.
    Salvilla SA, Thusu S, Panesar SS. Analysing the benefits of laparoscopic hernia repair compared to open repair: a meta-analysis of observational studies. J Minim Access Surg. 2012;8(4):111–7.CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Forbes SS, Eskicioglu C, McLeod RS, Okrainec A. Meta-analysis of randomized controlled trials comparing open and laparoscopic ventral and incisional hernia repair with mesh. Br J Surg. 2009;96(8):851–8.CrossRefPubMedGoogle Scholar
  15. 15.
    Hilling DE, Koppert LB, Keijzer R, Stassen LP, Oei IH. Laparoscopic correction of umbilical hernias using a transabdominal preperitoneal approach: results of a pilot study. Surg Endosc. 2009;23(8):1740–4.CrossRefPubMedGoogle Scholar
  16. 16.
    Blatnik J, Jin J, Rosen M. Abdominal hernia repair with bridging acellular dermal matrix—an expensive hernia sac. Am J Surg. 2008;196(1):47–50.CrossRefPubMedGoogle Scholar
  17. 17.
    Heniford BT, Park A, Ramshaw BJ, Voeller G. Laparoscopic repair of ventral hernias: nine years’ experience with 850 consecutive hernias. Ann Surg. 2003;238(3):391–9.PubMedPubMedCentralGoogle Scholar
  18. 18.
    Albino FP, Patel KM, Nahabedian MY, Sosin M, Attinger CE, Bhanot P. Does mesh location matter in abdominal wall reconstruction? A systematic review of the literature and a summary of recommendations. Plast Reconstr Surg. 2013;132(5):1295–304.CrossRefPubMedGoogle Scholar
  19. 19.
    Rosen MJ, Denoto G, Itani KM, Butler C, Vargo D, Smiell J, Rutan R. Evaluation of surgical outcomes of retro-rectus versus intraperitoneal reinforcement with bio-prosthetic mesh in the repair of contaminated ventral hernias. Hernia. 2013;17(1):31–5.CrossRefPubMedGoogle Scholar
  20. 20.
    Carbonell AM, Criss CN, Cobb WS, Novitsky YW, Rosen MJ. Outcomes of synthetic mesh in contaminated ventral hernia repairs. J Am Coll Surg. 2013;217(6):991–8.CrossRefPubMedGoogle Scholar
  21. 21.
    Helgstrand F, Rosenberg J, Kehlet H, Jorgensen LN, Bisgaard T. Nationwide prospective study of outcomes after elective incisional hernia repair. J Am Coll Surg. 2013;216(2):217–28.CrossRefPubMedGoogle Scholar
  22. 22.
    Lomanto D, Iyer SG, Shabbir A, Cheah WK. Laparoscopic versus open ventral hernia mesh repair: a prospective study. Surg Endosc. 2006;20(7):1030–5.CrossRefPubMedGoogle Scholar
  23. 23.
    Sauerland S, Walgenbach M, Habermalz B, Seiler CM, Miserez M. Laparoscopic versus open surgical techniques for ventral or incisional hernia repair. Cochrane Database Syst Rev. 2011;3, CD007781.Google Scholar
  24. 24.
    den Hartog D, Dur AHM, Tuinebreijer WE, Kreis RW. Open surgical procedures for incisional hernias. Cochrane Database Syst Rev. 2008;3, CD006438.Google Scholar
  25. 25.
    Snyder CW, Graham LA, Gray SH, Vick CC, Hawn MT. Effect of mesh type and position on subsequent abdominal operations after incisional hernia repair. J Am Coll Surg. 2011;212(4):496–502.CrossRefPubMedGoogle Scholar
  26. 26.
    Halm JA, de Wall LL, Steyerberg EW, Jeekel J, Lange JF. Intraperitoneal polypropylene mesh hernia repair complicates subsequent abdominal surgery. World J Surg. 2007;31(2):423–9.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Division of Minimally Invasive SurgeryThe Johns Hopkins University School of MedicineBaltimoreUSA

Personalised recommendations