Incisional Hernia Prevention After Midline Incision
Posted in Lectures on 29 May 2020
Silvia Valverde, MD, PhD
Abdominal Wall Surgery
There is a high rate of IH, specially in high-risk groups such as obese patients, immunosuppressed patients, and colorectal surgery patients.
There is an increasing evidence of augmented mesh placement benefits in reducing IH rates.
Abdominal wall closure should be standardized and education in surgical technique is mandatory.
An algorithm for prophylactic mesh placement based on a preoperative predictive model of IH risk should be considered.
Abdominal wall units and specific education are necessary to improve both prevention and treatment of IH.