[Prevention of incisional hernia].

Abstract

Following laparotomies, the rate of incisional hernia is 5-20%, and in high-risk patients more than 30%. The current literature suggests the use of a transverse incision if pos-sible, a suture technique with small bites, and a wound: suture length ratio of 1:4. Recent studies have shown, that the use of prophylactic mesh in an onlay position could have a significant effect on decreasing the rate of incisional hernia. There is still a lack of knowledge on potential long-term complications, but recommending prophylactic onlay mesh should be considered in all patients at risk of incisional hernia.

• Authors: Hugin Reistrup, Dennis Bregner Zetner, Kristoffer Andresen, Jacob Rosenberg
• Journal: Ugeskrift for laeger (Ugeskr Laeger) Vol. 180 Issue 34 (Aug 20 2018) ISSN: 1603-6824 [Electronic] Denmark
• PMID: 30152315 (Publication Type: Journal Article, Review)

Topics

• Herniorrhaphy (methods)
• Humans
• Incisional Hernia (prevention & control)
• Laparotomy (methods)
• Risk Factors
• Surgical Mesh
• Suture Techniques