Nomenclature in Abdominal Wall Hernias: Is It Time for Consensus?
Open accessAbstract
Abdominal wall reconstruction is a rapidly evolving area of surgical interest. Due to the increase in prevalence and size of ventral hernias and the high recurrence rates, the academic community has become motivated to find the best reconstruction techniques. Whilst interrogating the abdominal wall reconstruction literature, we discovered an inconsistency in hernia nomenclature that must be addressed. The terms used to describe the anatomical planes of mesh implantation ‘inlay’, ‘sublay’ and ‘underlay’ are misinterpreted throughout. We describe the misinterpretation of these terms and give evidence of where it exists in the literature. We give three critical arguments of why these misinterpretations hinder advances in abdominal wall reconstruction research. The correct definitions of the anatomical planes, and their respective terms, are described and illustrated. Clearly defined nomenclature is required as academic surgeons strive to improve abdominal wall reconstruction outcomes and lower complication rates.
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There are generally 5 different anatomical compartments for mesh placement: subcutaneous, interposition, retro-rectus, preperitoneal and intra-abdominal.
“According to recent consensus of nomenclature for defining the planes for the anterior abdominal wall mesh reconstruction, there are generally 5 different anatomical compartments for mesh placement: subcutaneous, interposition, retro-rectus, preperitoneal and intra-abdominal. 10”
From Caesarean Scar Endometriosis May Require Abdominoplasty (2021) · cites this paper as [10]
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Cited by
Sorted by citations
Caesarean Scar Endometriosis May Require Abdominoplasty
Bartłomiej, B., Małgorzata, S., Karolina, F., & Anna, S. (2021) · Clinical Medicine Insights: Case Reports · doi:10.1177/11795476211027666 · Cited by 10 · see citing works
- Authors
- Parker, S. G., Wood, C. P. J., Sanders, D. L., & Windsor, A. C. J.
- Affiliations
- University College Hospital (GB)
- North Devon District Hospital (GB)
- Corresponding author
- Parker, Samuel G.
- Venue
- World Journal of Surgery
- Publisher
- Wiley
- Published
- 2017-05
- Volume
- 41
- Issue
- 10
- Pages
- 2488-2491
- ISSN
- 0364-2313 (ISSN-L)
- 1432-2323
- PMC
- PMC5596036
- OpenAlex
- W2611795575
- Cited by
- 40
- References
- 32
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 8 · 2022: 4 · 2021: 8 · 2020: 5 · 2019: 3 · 2018: 5 · 2017: 3
- FWCI
- 4.48
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- World Journal of Surgery (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Hernia repair and management
- Health Sciences › Medicine › Surgery › Congenital Anomalies and Fetal Surgery
- Health Sciences › Medicine › Anatomy › Medical and Biological Sciences
- Keywords
- abdominal wall hernia, ventral hernia, abdominal wall reconstruction, sublay mesh, terminology inconsistency, hernia recurrence
- MeSH terms
- Hernia, Ventral, Humans, Terminology as Topic, Recurrence, Surgical Mesh, Consensus, Abdominal Wall, Herniorrhaphy
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