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Incisional Hernia: Open Techniques

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Abstract

Even with the routine use of mesh, repairing an incisional hernia is a challenge. Increasing evidence of impaired wound healing in these patients supports routine use of an open prefascial, retromuscular mesh repair. Basic pathophysiologic principles dictate that for a successful long-term outcome and prevention of recurrence a wide overlap underneath healthy tissue is required. The extent of this overlap should be 5 cm in all directions: surrounding the wound closure, subxiphoidal underneath the ribs, below the arcuate line, and retropubic.

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Authors and Affiliations

  1. Surgical Department, Rhenisch Westfalian Technical University, Pauwelsstrass 30, Aachen, D 52074, Germany

    Uwe Klinge M.D., Joachim Conze M.D., Carsten J. Krones M.D. & Volker Schumpelick Prof., M.D.

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  1. Uwe Klinge M.D.
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  2. Joachim Conze M.D.
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  3. Carsten J. Krones M.D.
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  4. Volker Schumpelick Prof., M.D.
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Correspondence to Uwe Klinge M.D..

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Klinge, U., Conze, J., Krones, C.J. et al. Incisional Hernia: Open Techniques. World J. Surg. 29, 1066–1072 (2005). https://doi.org/10.1007/s00268-005-7970-2

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  • DOI: https://doi.org/10.1007/s00268-005-7970-2

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