Prevention and Treatment of Incisional Hernia: New Techniques and Materials

To prevent the development of IH, the abdominal wall can best be closed with a continuous ‘small bites’ suture technique, using a slowly-absorbable suture. Reducing the rates of PSH will likely reduce the incidence of IH. When performing large hernia repair, mesh augmentation reduces recurrence rates. Several intraperitoneal-implanted synthetic composite meshes showed good incorporation and low adhesion formation. Even in the contaminated environment, some synthetic composite meshes did not show any mesh infection. Between clean and contaminated environments, the various brands of biological meshes behave very differently. Infection susceptibility and poor incorporation remain problematic with the majority of biological meshes. Only one non-crosslinked biological mesh was found to have no mesh infections and very little adhesion formation, but incorporation into the abdominal wall was insufficient for an intraperitoneal position.

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