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