Incisional Hernia

  • 10% of cases; more common in females
  • Unrecognized or late dehiscence
  • Etiology:   
    1. wound infection     
    2. technical errors
    3. increased intra-abdominal pressure
  • Multiple defects common; "button-hole"
  • Risk of incarceration
  • Repair:
        - tension-free: Mesh implantation - Stoppa repair
        - sutures should pass through normal fascia
  • 24% recurrence wth traditional primary closure methods










Double Layered Marlex Mesh Repair



Completed Repair

 

   
New York University School of Medicine
Hernia Repair
Department of Surgery
550 First Avenue, New York, NY 10016
© 2001 New York University
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