Minimally Invasive Sublay Mesh Repair of Abdominal Wall Hernias with the MILOS Technique (Mini or Less Open Sublay Repair)

  • Wolfgang Reinpold


The novel endoscopic assisted Mini- or Less Open Sublay (MILOS) operation is described and the results of the first large series of minimally invasive sublay repair of incisional hernias are given. The MILOS technique allows minimally invasive transhernial repair of incisional hernias using large retromuscular / preperitoneal meshes with low morbidity. The technique is reproducible, cost effective, easy to standardize and combines the advantages of open sublay and laparoscopic IPOM repair.

Primary abdominal wall and incisional hernia repair figure among the most frequent operations in surgery. The risk of incarceration is 1–2% per year. The main cause seems to be genetically determined insufficient cross-links between the collagen molecules. Since the advent of synthetic mesh [1], recurrence rates could be reduced from 25–60% to below 15%.


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© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Surgery and Reference Hernia CenterGross Sand Hospital Hamburg WilhelmsburgHamburgGermany

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