Abstract
The incidence of incisional hernia (usually defined as a chronic postoperative defect of the abdominal wall through which intraabdominal viscera protrude beneath the skin). has been reported to be as high as 11–13% of all laparotomies [1, 2]. Surgical repair is difficult in cases of large abdominal defects when the herniated viscera head “lost their right to reside” in the abdominal cavity; it must be remembered that surgical repair of an incisional hernia has nothing in common with closure of a laparotomy. The weakening of the abdominal wall and the consequences of decreased abdominal pressure on diaphragmatic modility and respiratory function are important factor [3]. Surgical repair requires placement of a prosthetic mesh. Without mesh, the recurrence rate is high and prohibitive because it may vary from 30% to 60% [1]. Retromuscular prefascial placement of the mesh, which we will describe as a standard procedure, has been proposed by rives and used in our department since 1966.
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Flament, J.B. (2010). In Support of Standard Procedure in Abdominal Hernia Repair. In: Schumpelick, V., Fitzgibbons, R.J. (eds) Hernia Repair Sequelae. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11541-7_64
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DOI: https://doi.org/10.1007/978-3-642-11541-7_64
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