Open Preperitoneal Retrofascial Mesh Repair for Multiply Recurrent Ventral Incisional Hernias

Intraoperative indocyanine green fluorescence angiography to predict wound complications in complex ventral hernia repair

“…The majority of patients underwent preperitoneal, open ventral hernia repair with prosthetic mesh [40]. One patient had an onlay-type repair.…”

Repair of Abdominal Wall Hernias with Restoration of Abdominal Wall Function

“…11 Ideally, this goal could be performed without creation of the large, lipocutaneous tissue flaps. Our approach to performing an endoscopic component separation can be combined with a midline incision and retrorectus mesh placement (as described above) or via a laparoscopic approach as described below.…”

Abdominal wall component release is a sensible choice for patients requiring complicated closure of abdominal defects

“…However, the use of mesh has its own array of various complications such as infection [4], enterocutaneous fistula formation and extrusion, seroma and adhesion formation, and a lack of pliability in the abdominal wall [5]. In addition, the use of prosthetic materials may be associated with a recurrence of abdominal defects in as many as 32% of patients [1,2,[6][7][8]. Finally, the costs of synthetic biomaterials used in abdominal wall closure are significant and regularly underestimated (Table 1).…”