The DOI matches its Crossref record.
Recent Trends in the Management of Incisional Herniation
Abstract
There is a high incidence of risk factors for incisional herniation in hospitalized veterans. Almost half the defects appear more than 12 months after celiotomy. "Buttonholing" of the rectus sheath by a sawing motion of the continuous nonabsorbable suture may be responsible for this later herniation. Suturing with synthetic, slowly absorbed monofilament may reduce delayed herniation. The recurrence rate after primary repair was 24.8% (n = 206), and after a second repair the recurrence rate was 41.7% (n = 36). Plastic prostheses, used only in difficult cases (18% of the sample), were associated with a recurrence rate similar to that associated with sutures because of protrusion around the edge. The use of larger and better fixed ("sandwich") polypropylene mesh (Marlex) is indicated. Subxiphoid epigastric hernias following sternotomy do not require prosthetic herniorrhaphy.
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Citations
Cited by
Golla, D., & Russo, C. C. (2014) · International Surgery · doi:10.9738/intsurg-d-13-00170.1 · Cited by 8
Metadata
- Authors
- Read, R. C.
- Venue
- Archives of Surgery
- Publisher
- American Medical Association (AMA)
- Published
- 1989-04-01
- Volume
- 124
- Issue
- 4
- Pages
- 485
- ISSN
- 0004-0010 (ISSN-L)
- OpenAlex
- W2078442578
- Cited by
- 337
- References
- 0
- FWCI
- 0.52
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Recent Trends in the Management of Incisional Herniation. https://app.cochat.ai/papers/10.1001/archsurg.1989.01410040095022
- The paper
- Read, R. C. (1989). Recent Trends in the Management of Incisional Herniation. Archives of Surgery. https://doi.org/10.1001/archsurg.1989.01410040095022
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
