Standardized sublay technique in polypropylene mesh repair of incisional hernia: A prospective clinical study

Abstract

Introduction: With the introduction of meshes to support hernia repairs the recurrence rates were reduced from 50% to less than 10%. Special complications such as scar plates with restriction of the mobility of the abdominal wall, pain and fistula formation are described. Methods: In a prospective study trial 40 patients with incisional hernia were treated with polypropylene mesh repair in the standard sublay technique. Results: Within a mean follow-up period of 2 years, 6-12-2018 to 25-12-2020, most of the patients were free from pain and very satisfied. Two recurrences, occurred and 2 hematomas had to be removed surgically. Conclusions: Using a standard operation technique with the mesh in sublay position, even with polypropylene mesh, good clinical results can be achieved compared to published findings. To our surprise we found two central recurrences through the mesh.