Open Repair of Ventral Incisional Hernias

• Published in: The Surgical clinics of North America Vol. 88; no. 1; pp. 61 - 83
• Main Authors: Shell, Dan H., MD, de la Torre, Jorge, MD, Andrades, Patricio, MD, Vasconez, Luis O., MD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-02-2008
• Subjects: Hernia, Ventral - epidemiology; Hernia, Ventral - etiology; Hernia, Ventral - surgery; Humans; Incidence; Laparotomy - adverse effects; Postoperative Complications; Reconstructive Surgical Procedures - methods; Surgery; Surgical Mesh; Suture Techniques; Treatment Outcome
• ISSN: 0039-6109; 1558-3171
• DOI: 10.1016/j.suc.2007.10.008

Despite advances in many fields of surgery, incisional hernias still remain a significant problem. There is a lack of general consensus among surgeons regarding optimal treatment. A surgeon's approach is often based on tradition rather than clinical evidence. The surgeon's treatment plan should be comprehensive, with attention focused not merely on restoration of structural continuity. An understanding of the structural and functional anatomy of the abdominal wall and an appreciation of the importance of restoring dynamic function are necessary for the successful reconstruction of the abdominal wall.