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World J Surg. 2005 Aug;29(8):1066-72.

Incisional hernia: open techniques.

Author information

1
Surgical Department, Rhenisch Westfalian Technical University, Pauwelsstrass 30, Aachen, D 52074, Germany. Uklinge@ukaachen.de

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.

PMID:
15983712
DOI:
10.1007/s00268-005-7970-2
[Indexed for MEDLINE]

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