Repair of Large Midline Abdominal-Wall Hernias by a Running Strip of Abdominal Skin

Mesh Sutured Repairs of Abdominal Wall Defects

“…Small-diameter sutures concentrate force and pressure at the STI, leading to acute or chronic suture pull-through and surgical failure. 11 Many materials have been implanted in an attempt to achieve a reliable high-tension closure including silver wire, 12 dermal autograft strips, 13 and collagen ribbon. 14 The spacing of sutures to avoid tearing has intensely investigated.…”

Autogenous Skin Graft in the Treatment of Large Incisional Lumbar Hernias and Bulges

“…They involve the extent and the type of the incision (muscle dividing, rib exci sion), improper surgical techniques in wound closure (in particular the internal oblique muscle) and the division of the subcostal nerve for muscular bulges. Most hernias are mal cysts were described, but the risk is very low, usually without any clinical symptom [6,7], The reason seems to be related to the rapid disappearance of epithelial rem nants [7], Thus, most authors do not recommend de-epithelialization of the skin. Lastly the procedure is simple, reproducible and inexpensive.…”

“…Gosset [5] introduced the full-thickness skin graft in 1949 to avoid the two main disadvantages of the fascia lata strip which are shortness of the strip and local complica tions at the site of removal. Later reports showed excellent results in 70-80% of cases when applied to large and recurrent midline hernias [6][7][8]. This procedure is now used at our Institution as the first-choice method of treat ment for abdominal hernias in digestive as well as plastic and reconstructive surgery.…”

“…Conclu sion: The use of a running strip of autogenous skin graft is a simple and reli able procedure for the repair of large lumbar hernias or muscular bulges for patients with stable weight conditions. sional hernias of the abdominal wall [5][6][7][8]. We evaluated this skin lacing technique for large lumbar hernias and muscular bulges.…”

The Evolution of Skin Graft Reconstruction

“…Many recent authors have studied and refined skin graft techniques. Grafts have been deemed valuable in recent publications for defects of the eyebrow, 3 distal fingerpads, 4 nasal atresia, 5 nasal cancers, 6 the urethra, 7 facial pigmentation, 8 eyelids and conjunctiva, 9 as well as being useful in the management of nipple reconstruction after mastectomy, 10 ectropion, 11 abdominal wall hernias, 12 facial hemangiomas, 13 and temporomandibular an‐kylosis 14 …”