With substantially decreased surgical site infections (SSIs) and recurrence rates, combining component separation techniques with a sublay mesh repair allows patients with previously “inoperable” hernias to not only have an operation but also one that is durable with decreased recurrence rates.

2016年5月1日 · With sublay repair, the mesh is exposed to the load-bearing and highly vascular rectus myofascial complex on the anterior surface and to the posterior fascial sheath. In contrast, with underlay repair, the mesh is exposed to the peritoneum, the …

Our study aims to review newer published RCTs comparing onlay with sublay mesh repair for open incisional hernias. The outcomes evaluated were postoperative complications, recurrence of the hernia, and length of hospital stay.

It is suggested that sublay mesh repair has the lowest recurrence and surgical site infection in open anterior abdominal hernia repair. This study aimed to analyze the pros and cons of the sublay mesh in ventral hernia repair to evaluate the significance of this technique as a …

2020年2月19日 · The sublay-retromuscular technique describes mesh placed posterior to the rectus muscle and anterior to the posterior rectus sheath. This plane continues below the arcuate line as the plane between the rectus abdominis muscle and the transversalis fascia [6].

2023年5月17日 · Ventral hernias with large defects (≥ 2 cm) are managed with tension free mesh repair. The growing consensus that sublay (retrorectus) mesh repair is superior to onlay mesh repair due to fewer complications is based on literature dominated by retrospective studies from high and upper-middle income countries.

In the PRIMA trial, patients with increased risk of incisional hernia formation (AAA or BMI ≥27 kg/m 2) were randomised in a 1:2:2 ratio to primary suture, onlay mesh or sublay mesh closure in three different countries in eleven institutions.

2012年9月6日 · Our initial results indicate that the new laparoscopic transperitoneal sublay mesh repair is a safe and effective method for the treatment of small- and medium-size ventral and incisional hernias. The development of an incisional hernia is one of the most common complications after abdominal surgery.

The sublay mesh technique is an open surgical procedure for large incisional hernias. With this technique a skin incision is made directly above the protruding hernial sac [Fig. 32] and the scar is cut out. Then the hernial sac is opened, any adhesions in the abdominal cavity are removed and the hernial sac is repositioned in the abdominal cavity.

2016年6月12日 · Onlay repair involves placement of the mesh on the anterior rectus fascia below the subcutaneous layer after approximation of the anterior rectus fascia. The advantage of this technique is its ease of application.