AI Article Synopsis
- Incisional hernias often arise after abdominal surgery, and if untreated, they can gradually increase in size, risking complications like incarcerated or strangulated organs and affecting respiratory function.
- Surgical repair for small incisional hernias (<5 cm) is generally safe and can be performed via laparotomy or laparoscopy, but larger hernias present more challenges during repair.
- To ensure long-term success, closing the abdominal wall defect must be done anatomically, and the use of prosthetic reinforcement, such as Dacron mesh placed in the retromuscular plane, is recommended.
Article Abstract
Incisional hernia is one of the classic complications after abdominal surgery. The chronic, gradual increase in size of some of these hernias is such that the hernia ring widens to a point where there is a loss of substance in the abdominal wall, herniated organs can become incarcerated or strangulated while poor abdominal motility can alter respiratory function. The surgical treatment of small (<5 cm) incisional hernias is safe and straightforward, by either laparotomy or laparoscopy. For large hernias, surgical repair is often difficult. After reintegration of herniated viscera into the abdominal cavity, the abdominal wall defect must be closed anatomically in order to restore the function to the abdominal wall. Prosthetic reinforcement of the abdominal wall is mandatory for long-term successful repair. There are multiple techniques for prosthetic hernia repair, but placement of Dacron mesh in the retromuscular plane is our preference.
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| http://dx.doi.org/10.1016/j.jviscsurg.2012.07.007 | DOI Listing |
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