Incisional Hernias

Optimal Abdominal Incision for Partial Hepatectomy: Increased Late Complications with Mercedes‐type Incisions Compared to Extended Right Subcostal Incisions

“…The exact mechanism responsible for the higher rate of hernia development with a Mercedes incision is unknown. It has previously been speculated that factors that predispose incisions to hernias include ischemia34 and infection 35. In our study, ischemia may have been an important, potentially avoidable cause.…”

“…It has previously been speculated that factors that predispose incisions to hernias include ischemia 34 and infection. 35 In our study, ischemia may have been an important, potentially avoidable cause. An area of relative ischemia at the trifurcation point from the midline fascia to the anterior and posterior sheaths of the rectus abdominis may have contributed to impaired healing and led to the development of a hernia.…”