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. © 2005 by the Société Internationale de Chirurgie.
CITATION STYLE
Klinge, U., Conze, J., Krones, C. J., & Schumpelick, V. (2005, August). Incisional hernia: Open techniques. World Journal of Surgery. https://doi.org/10.1007/s00268-005-7970-2
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