Open Repair

  • Flavio Malcher
  • Leandro Totti Cavazzola
  • Andrew Kingsnorth


Large and complex incisional hernias are best managed by specialists. The European Hernia Society classification reproduced in this chapter will guide the general surgeon to the hernias that can be managed by the generalist, adopting techniques described below.

Incisional hernias with loss of domain require a detailed management plan to achieve maximum success with minimal complications. The planning begins well before “knife to skin” and may include several tatics as pre-operative pneumoperitoneum and Botox injections. Active measures must be taken preoperatively to achieve weight loss, treat skin ulceration, and optimize the therapy of associated diabetic, cardiovascular, or pulmonary problems.

A detailed and illustrated account is given for the sublay and the onlay techniques of incisional hernia repair, with an evidence-based discussion of the merits of each method.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Flavio Malcher
    • 1
  • Leandro Totti Cavazzola
    • 2
  • Andrew Kingsnorth
    • 3
  1. 1.Celebration Center for SurgeryCelebrationUSA
  2. 2.Universidade Federal do Rio Grande do Sul and Hospital de Clínicas de Porto AlegrePorto AlegreBrazil
  3. 3.Peninsula College of Medicine and Dentistry (Emeritus)PlymouthUK

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