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Forebyggelse af incisionalhernier

Forfatter(e)

Hugin Reistrup, Dennis Bregner Zetner, Kristoffer Andresen & Jacob Rosenberg

Center for Perioperativ Optimering, Gastroenheden, Kirurgisk Sektion, Herlev og Gentofte Hospital Ugeskr Læger 2018;180:V02180094

Reference: 
Ugeskr Læger 2018;180:V02180094
Blad nummer: 
Sidetal: 
2-5
Prevention of incisional hernia

Following laparotomies, the rate of incisional hernia is 5-20%, and in high-risk patients more than 30%. The current literature suggests the use of a transverse incision if pos­sible, a suture technique with small bites, and a wound:suture length ratio of 1:4. Recent studies have shown, that the use of prophylactic mesh in an onlay position could have a significant effect on decreasing the rate of incisional hernia. There is still a lack of knowledge on potential long-term complications, but recommending prophylactic onlay mesh should be considered in all patients at risk of incisional hernia.

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