{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T05:48:40Z","timestamp":1790660920001,"version":"4.1.0"},"reference-count":48,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2007,7,4]],"date-time":"2007-07-04T00:00:00Z","timestamp":1183507200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2008,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Reported results of incisional hernia repair are poor with high recurrence rates unless prosthetic mesh is used. Mesh gives improved results, but certain techniques are associated with a high incidence of infections, fistulas, and seromas. This study reports the results of a consecutive series of incisional hernias repaired using an open sublay technique with retromuscular mesh placement. The primary endpoint was hernia recurrence. Secondary endpoints were complications and long\u2010term discomfort.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 125 patients were operated on between 1991 and 2001. In 2002 they were sent a questionnaire and asked to return for examination if they thought their hernia had recurred or if they had pain. A second questionnaire was sent in 2005, and all patients were asked to return for examination.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no postoperative deaths and no major systemic complications. There were no early (within 30\u00a0days) wound infections; the mesh subsequently became infected in two patients and had to be removed. Seromas developed in 12 patients. In 2002, a total of 106 questionnaires were returned; 3 patients had died of unrelated causes, and 16 were untraceable despite repeated attempts. There were five (4%) recurrences. Altogether, 6 patients had abdominal wall discomfort, and 49 patients spontaneously wrote that they were pleased or very pleased with the long\u2010term result. At a second follow\u2010up a mean of 8 years after operation (95\u00a0months; range 46\u2013168\u00a0months) patients were assessed by an independent observer, and there were no further recurrences.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Open repair of incisional hernias with mesh in the subfascial plane is highly effective with acceptable complication rates. Surgeon experience and a team approach are important factors in obtaining good results. Trials comparing open with laparoscopic repair are needed.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-007-9118-z","type":"journal-article","created":{"date-parts":[[2007,7,3]],"date-time":"2007-07-03T19:03:57Z","timestamp":1183489437000},"page":"31-36","source":"Crossref","is-referenced-by-count":43,"title":["Open Mesh Repair of Incisional Hernia Using a Sublay Technique: Long\u2010Term Follow\u2010up"],"prefix":"10.1002","volume":"32","author":[{"given":"Martin","family":"Kurzer","sequence":"first","affiliation":[{"name":"British Hernia Centre 87 Watford Way NW4 4RS Hendon UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allan","family":"Kark","sequence":"additional","affiliation":[{"name":"British Hernia Centre 87 Watford Way NW4 4RS Hendon UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Selouk","sequence":"additional","affiliation":[{"name":"British Hernia Centre 87 Watford Way NW4 4RS Hendon 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