What Is the Current Knowledge About Sublay/Retro-Rectus Repair of Incisional Hernias?

Frontiers in Surgery
Ferdinand KöckerlingHubert Scheuerlein

Abstract

Introduction: There continues to be very little agreement among experts on the precise treatment strategy for incisional hernias. That is the conclusion drawn from the very limited scientific evidence available on the repair of incisional hernias. The present review now aims to critically assess the data available on the sublay/retro-rectus technique for repair of incisional hernia. Materials and Methods: A systematic search of the literature was performed in May 2018 using Medline, PubMed, and the Cochrane Library. This article is based on 77 publications. Results: The number of available RCTs that permit evaluation of the role of the sublay/retro-rectus technique in the repair of only incisional hernia is very small. The existing data suggest that the sublay/retro-rectus technique has disadvantages compared with the laparoscopic IPOM technique for repair of incisional hernia, but in that respect has advantages over all other open techniques. However, the few existing studies provide only a limited level of evidence for assessment purposes. Conclusion: Further RCTs based on a standardized technique are urgently needed for evaluation of the role of the sublay/retro-rectus incisional hernia repair technique.

References

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Citations

Mar 4, 2020·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Alexander GavlinFernanda S Mazzariol
Jul 31, 2019·World Journal of Surgery·Ferdinand KöckerlingAlexander H Petter-Puchner
Nov 9, 2018·Frontiers in Surgery·Ferdinand Köckerling, Bernhard Lammers
May 30, 2019·Frontiers in Surgery·Ferdinand Köckerling
Mar 13, 2019·World Journal of Surgery·Rudolf SchrittwieserAlexander H Petter-Puchner
Dec 13, 2018·Frontiers in Surgery·Ferdinand Köckerling
Nov 18, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·L van SilfhoutUNKNOWN Ventral Hernia Group Tilburg
Apr 2, 2021·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·F KöckerlingCh Schug-Pass
Jul 29, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·F KöckerlingD Weyhe

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