Prevention of Incisional Ventral Hernias After Midline Laparotomy: Current State of the Art

Abstract

Despite an active search and an abundance of scattered recommendations for the prevention of incisional ventral hernias, there is still no consensus on many issues. Discussions continue about the use of a continuous or interrupted suture of the aponeurosis, the prophylactic use of a mesh endoprosthesis during the closure of abdominal wall incisions. The generally accepted methods of prevention include the use of monofilament non-absorbable synthetic materials when suturing the aponeurosis using the "small byte" technique. The first experience with a new prevention method, such as laparotomy with umbilical dissection, shows good results and requires further study.