Incisional hernia: open techniques

World J Surg. 2005 Aug;29(8):1066-72. doi: 10.1007/s00268-005-7970-2.


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.

Publication types

  • Review

MeSH terms

  • Hernia, Ventral / surgery*
  • Humans
  • Prosthesis Implantation / methods*
  • Recurrence
  • Surgical Mesh
  • Surgical Procedures, Operative / methods
  • Wound Healing