Significance of Fascia Doubling in the Management of Incisional Hernia

  • M. Decurtins
Conference paper


The incidence of incisional hernia following abdominal surgery ranges from about 1% to 10% [1-3], depending on the site of the initial laparotomy. The lowest incidence (1%) has been reported after paramedian laparotomy [4], and the highest (15%) after midline incision [5,6].


Hernia Repair Incisional Hernia Synthetic Mesh Umbilical Hernia Incisional Hernia Repair 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Liakakos T, Karanikas I, Panagiotidis H and Dendrinos S: Use of Marlex Mesh in the Repair of Recurrent Incisional Hernia. British Journal of Surgery 81 (1994) 248–239.PubMedCrossRefGoogle Scholar
  2. 2.
    Stelzner F: Theorie und Praxis der fortlaufenden Laparotomienaht (Platzbauch und Narbenhernie). Chirurg 59 (1988) 654–660.PubMedGoogle Scholar
  3. 3.
    Paul A, Korenkov M, Peters S, Fischer St, Holthausen U, Köhler L, Eypasch E: Die Mayo—Doppelung zur Behandlung des Narbenbruchs der Bauchdecken nach konventioneller Laparotomie. Zentralbl Chir 122 (1997) 862–870.PubMedGoogle Scholar
  4. 4.
    Donaldson DR, Hegarty JH, Brennan TG, Guillou PJ, Finan PJ, Hall TJ: The Lateral Paramedian Incision − Experience with 850 Cases. Br J Surg 69 (1982) 630–632.PubMedCrossRefGoogle Scholar
  5. 5.
    Bucknall TE, Cox PJ, Ellis H: Burst Abdomen and Incisional Hernia: a Prospective Study of 1129 Major Laparotomies. Br Med J 284 (1982) 931–933.CrossRefGoogle Scholar
  6. 6.
    Wissing J, van Vroonhoven TJMV, Schattenkerk ME, Veen HF, Ponsen RJG, Jeekel J: Fascia Closure after Midline Laparotomy: Results of a Randomized Trial. Br J Surg 74 (1987) 738–741.PubMedCrossRefGoogle Scholar
  7. 7.
    Hohlbach G, Meffert R: Wundruptur −Narbenhernie. Zentralbl Chir 122 (1997) 190–192.PubMedGoogle Scholar
  8. 8.
    Israelsson LA, Jonsson T: Overweight and Healing of Midline Incisions: The Importance of Suture Technique. Eur J Surg 163 (1997) 175–180.PubMedGoogle Scholar
  9. 9.
    Houck JP, Rypins EB, Sarfeh IJ, Juler GL and Shimoda KJ: Repair of Incisional Hernia. Surg Gynecol Obstet 169 (1989) 397–399.PubMedGoogle Scholar
  10. 10.
    Stelzner F: Die Bauchdeckenfunktion, die Entstehung und die Therapie von Hernien (unter anderem: Die Parakolostomiehernie). Langenbecks Arch Chir 379 (1994) 109–119.PubMedGoogle Scholar
  11. 11.
    Pitkin RM: Abdominal Hysterectomy in Obese Women. Surg Gynecol Obstet 143 (1976) 532–536.Google Scholar
  12. 12.
    Mudge M and Hughes LE: Incisional Hernia: a 10 Year Prospective Study of Incidence and Attitu-des. Br J Surg 72 (1985) 70–71.PubMedCrossRefGoogle Scholar
  13. 13.
    Read RC, Yoder G: Recent Trends in the Management of Incisional Herniation. Arch Surg 124 (1989) 485–488.PubMedGoogle Scholar
  14. 14.
    Dehne A: Narbenhernien. Chir Gastroenterol 9 (1993) 358–360.CrossRefGoogle Scholar
  15. 15.
    Ellis H, Gajraj H and George CD: Incisional hernias: when do they occur? Br J Surg 70 (1983) 290–291.PubMedCrossRefGoogle Scholar
  16. 16.
    George CT, Ellis H: The results of incisional hernia repair: a twelve year review. Ann Roy Col Surg 68 (1986) 185–187.Google Scholar
  17. 17.
    Langer S and Christiansen J: long−term results after incisional hernia repair. Acta Chir Scand 151 (1985) 217–219.PubMedGoogle Scholar
  18. 18.
    Lamont PM, Ellis H: incisional hernia in re−opened abdominal incisions: an overlooked risk factor. Br J Surg 75 (1988) 374–376.PubMedCrossRefGoogle Scholar
  19. 19.
    Usher FC, Allen JE, Crosthwait RW, et al: Polypropylene monofilament: a new biologically inert suture for closing contaminated wounds. MAMA 179 (1962) 780–782.Google Scholar
  20. 20.
    Elliot MP, Juler GL: Comparison of marlex mesh and microporous teflon sheets when used for hernia repair in the experimental animal. Am J Surg 137 (1979) 342–344.CrossRefGoogle Scholar
  21. 21.
    Gilsdorf RB, Shea MM: Repair of massive septic abdominal wall defects with marlex mesh. Am J Surg 130 (1975) 634–638.PubMedCrossRefGoogle Scholar
  22. 22.
    Kaufman Z, Engelberg M, Zager M: Fecal fistula: a late complication of marlex mesh repair. Dis Colon Rectum 24 (1981) 543–544.PubMedCrossRefGoogle Scholar
  23. 23.
    Eisner L, Harder F: Narbenhernien. Chirurg 68 (1997) 304–309.CrossRefGoogle Scholar
  24. 24.
    Zimmermann G, Müller G und Haid A: Chirurgische Therapie der Narbenhernien. Chirurg 62 (1991) 656–662.PubMedGoogle Scholar
  25. 25.
    Mayo WJ: An operation for the radical cure of umbilical hernia. Ann Surg 34 (1901) 276–280.PubMedCrossRefGoogle Scholar
  26. 26.
    Paul A, Lefering R, Köhler L, Eypasch E: Gegenwärtige Praxis der Narbenhernienrekonstruktion in der Bundesrepublik Deutschland. Zentralbl Chir 122 (1997) 859–861.PubMedGoogle Scholar
  27. 27.
    Schildberg FW, Vatankhah, Nissen R: Chirurgische Behandlung des Narbenbruches der Bauchdecken. Langenbecks Arch Chir 361 (Kongressbericht 1983) 319–323. CrossRefGoogle Scholar
  28. 28.
    Westweber K-H, Lepique F, Haaf F, Horatz M, Rink A: Netzplastiken bei Bauchwand-Rezidiv- hernien - Ergebnisse. Zentralbl Chir 122 (1997) 885–888.Google Scholar
  29. 29.
    Hesselink VJ, Luijendijk RW, de Wilt JHW, Heide R and Jeekel J: An evaluation of risk factors in incisional hernia recurrence. Surg Gynecol Obstet 176 (1993) 228–234.PubMedGoogle Scholar
  30. 30.
    Schumpelick V, Conze J, Klinge U: Die präperitoneale Netzplastik in der Reparation der Narben- hernien. Chirurg 67 (1996) 1028–1035.PubMedCrossRefGoogle Scholar
  31. 31.
    Trupka AW, Schweiberer L, Hallfeldt K, Waldner H: Versorgung grosser Bauchwandbrüche durch Fremdmaterial (Gore-Tex-Patch). Zentralbl Chir 122 (1997) 879–884.PubMedGoogle Scholar
  32. 32.
    Amid PK und Lichtenstein IL: Retromuskuläre Alloplastik grosser Narbenbriiche: eine einfache Heftklammertechnik. Chirurg 67 (1996) 648–652.PubMedGoogle Scholar
  33. 33.
    Manninen MJ, Lavonius M and Perhoniemi VJ: Results of Incisional Hernia Repair. Eur J Surg 157 (1991) 29–31.PubMedGoogle Scholar
  34. 34.
    Farthmann EH und Mappes H-J: Der spannungsfreie Verschluss der Narbenhernie. Chirurg 68 (1997) 310–316.PubMedCrossRefGoogle Scholar
  35. 35.
    Eypasch E, Paul A: Bauchwandhernien: Epidemiologic, Ökonomie und chirurgische Technik — Ein Überblick. Zentralbl Chir 122 (1997) 855–858.PubMedGoogle Scholar
  36. 36.
    Rubio PA: New technique for repairing large ventral incisional hernias with marlex mesh. Surg Gynecol Obstet 162 (1986) 275–276.PubMedGoogle Scholar
  37. 37.
    Matapurkar BG, Gupta AK and Agarwal AK: A new technique of “Marlex â-peritoneal sandwich” in the repair of large incisional hernias. World J Surg 15 (1991) 768–770.PubMedCrossRefGoogle Scholar
  38. 38.
    Stoppa RE: the treatment of complicated groin and incisional hernias. World J Surg 13 (1989) 545–554.PubMedCrossRefGoogle Scholar
  39. 39.
    Amgwerd M, Decurtins M, Largiadèr F: Die Narbenhernie — Prädisposition oder insuffiziente Nahttechnik? Helv chir Acta 59 (1992) 345–348.PubMedGoogle Scholar

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© Springer-Verlag Berlin Heidelberg 1999

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  • M. Decurtins

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