Mesh repair of medium sized midline incisional hernias: Prolene mesh versus Vypro mesh

Abstract

Incisional hernias remain one of the most common surgical complications with a longterm incidence of 10-20%. 1 With the move to the tension-free repair following the introduction of the meshes, results improved, with a slight decrease in the rate of recurrence to approximately 10%. 2 Within recent decades, the sublay prosthetic hernioplasty, which was introduced in the 1970 by the French surgeons Stoppa and Rives, became one of the widely accepted procedures for incisional hernia repair. 3 This technique is basically characterized by mesh implantation in the "sublay"position below the rectus muscle and fixation of the mesh by transfascial sutures at the edges of the mesh. 4