Pathologies Associated with Incisional Hernia: Timing of Intervention

  • Francesco Corcione
  • Vincenzo Cimmino
  • Felice Pirozzi
  • Anna Settembre
  • Daniele Cusano
Part of the Updates in Surgery book series (UPDATESSURG)


The treatment of concomitant endo-abdominal pathologies at the same time as incisional hernia repair remains a subject of controversy in surgical practice. In recent years, treatment of incisional hernias, especially very large ones, has consisted exclusively of prosthetic mesh repair. While initially mesh repair was used only in selected cases, it has since become the gold standard in treating this pathology, due to technological innovations and the increased experience of surgeons carrying out this procedure [1]. Since the early 1980s, the work of French, American and Italian surgeons has demonstrated the efficiency and feasibility of prosthetic mesh repair [2, 3, 4]. New, increasingly sophisticated prostheses are being introduced almost on a daily basis; however, rejection and infection of the mesh remain the most threatening complication that surgeons must consider. For this reason, the well-respected schools of abdominal-wall surgery of Stoppa and Rives have always issued vigorous precautions regarding the uses of prosthetic meshes for specific indications [5]. In this context, until the 1980s, the treatment of concomitant pathologies was absolutely contraindicated, as it was considered to interfere with incisional hernia repair. Nevertheless, Stoppa and Rives have allowed that certain concomitant procedures and pathologies can be managed during mesh repair without a high risk of mesh infection [6].


Incisional Hernia Mesh Repair Parastomal Hernia Incisional Hernia Repair Prosthetic Mesh 
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  1. 1.
    Corcione F, Cristinzio G, Cuozzo A et al (1991) Impiego di protesi e tecniche tradizionali nel trattamento chirurgico del laparocele: studio sperimentale. Minerva Chir 46:93PubMedGoogle Scholar
  2. 2.
    Califano G, Lobello R, Ferulano GP, Corcione F (1980) Il problema del trattamento chirurgico del laparocele. Atti della Società Italiana di Chirurgia, 82° Congresso, RomaGoogle Scholar
  3. 3.
    Wantz GE (1991) Incisional hernioplasty with mersilene. Surg Gynecol Obstet 172:129–137PubMedGoogle Scholar
  4. 4.
    Chevrel JP, Flament JB (1990) Les éventration de la paroi abdominale. Masson, ParisGoogle Scholar
  5. 5.
    Rives J, Palot JP, Burde A, Corcione F (1986) I grandi laparoceli: esperienze relative a 250 casi. Minerva Chir 41:135–144PubMedGoogle Scholar
  6. 6.
    Stoppa R, Henry X, Odimbe E et al (1980) Traitement chirurgical des éventrations postopératoires. Utilisation des prothèses en tulle de Dacron et de la colle biologique. Nouv Presse Med 9:35–41Google Scholar
  7. 7.
    Corcione F, Cristinzio G, Cimmino V et al (1993) Eventrations et pathologie associée: à propos de 23 cas. GREPA 15:54–56Google Scholar
  8. 8.
    Mandalà V. (1993) Considerazioni sull’impiego protesico eterologo nei laparoceli a rischio settico. GREPA 15:66–69Google Scholar
  9. 9.
    Campanelli G, Nicolosi FM, Pettinari D et al (2004) Prosthetic repair, intestinal resection, and potentially contamined areas: safe and feasible? Hernia 8:190–192PubMedCrossRefGoogle Scholar
  10. 10.
    Gervino L, Cangioni G, Renzi F (2000) A retrospective study on the efficacy of short-term perioperative prophylaxis in abdominal wall surgery for hernia repair in 1254 patients. J Chemother 12(Suppl 3):34–37PubMedGoogle Scholar
  11. 11.
    Tekkis PP, Kocher HM, Payne JG (1999) Parastomal hernia repair: modified thorlakson technique, reinforced by popypropylene mesh. Dis Colon Rectum 42:1505–1508PubMedCrossRefGoogle Scholar
  12. 12.
    Rios A, Rodriguez JM (2001) Antibiotic prophylaxis in incisional hernia repair using a prosthesis. Hernia 5:148–152PubMedCrossRefGoogle Scholar
  13. 13.
    Rives J, Pire J, Convers G (1977) Traitement des éventrations. EMC, Paris, Techniques Chirurgicales 4-2-07:40165Google Scholar

Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • Francesco Corcione
  • Vincenzo Cimmino
  • Felice Pirozzi
  • Anna Settembre
  • Daniele Cusano

There are no affiliations available

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