[Standardized sublay technique in polypropylene mesh repair of incisional hernia. A prospective clinical study].

INTRODUCTION: With the introduction of meshes to support hernia repairs the recurrence rates were reduced from 50% to less than 10%. Special complications such as scar plates with restriction of the mobility of the abdominal wall, pain and fistula formation are described.

METHODS: In a prospective study trial 38 patients with incisional hernia were treated with Marlex mesh repair in the standard sublay technique.

RESULTS: Within a mean follow-up period of 3 years most of the patients were free from pain and very satisfied. Two recurrences (5.2%) occurred and 2 hematomas (5.2%) had to be removed surgically.

CONCLUSIONS: Using a standard operation technique with the mesh in sublay position, even with heavy-weight Marlex mesh, good clinical results can be achieved compared to published findings. To our surprise we found two central recurrences through the mesh.