Surgical Repair of Incisional Hernia using Overlaped Fascia and Onlay Dual Mesh

Yukitake Hasebe, Yasusige Nagasawa, Jyunichi Koike, Yousuke Shiokawa, Motoomi Zenri, Shouji Nishida, Youji Kamihayashi and Tadahisa Oogai

Department of Surgery, Kawasaki Social Insurance Hospital

Incisional hernia is an important complication of abdominal surgery, with primary incisional hernia occurring in 2-11% of patients undergoing laparotomy. It requiring surgical repair. Surgical repair using prosthetic material features low postoperative recurrence. We attempted to surgically repair incisional hernia using overlapped anterior fascia of the rectus muscle of the abdomen and onlay dual mesh, which is tensionfree repair and dose not require opening the peritoneum, in five cases. Mean patient age was 64.5 years, BMI was 27.5, maximum hernia diameter was 82.5 mm, and mean followup was 18.0 months. A complication of seroma occurred in 1 case. No postoperative recurrence was seen. We therefore recommend this technique for incisional hernia.

Key words
incisional hernia, Marlex mesh, tension free repair

Reprint requests
Yukitake Hasebe Department of Surgery, Kawasaki Social Insurance Hospital 2-9-1 Tamachi, Kawasaki-ku, Kawasaki-city, 210-0822 JAPAN

Accepted
February 26, 2003

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