Repair of subxiphoid incisional hernias with Marlex mesh after median sternotomy
M. J. Cohen and J. R. Starling
Median sternotomy is sometimes complicated by a bifid xiphoid process and
an incisional (ventral) hernia in the subxiphoid region. Such hernias often
recur after primary suture repair. We recently initiated the use of a
polypropylene prosthetic mesh to primarily repair subxiphoid incisional
hernias. This report details the results of using this material in 14
patients between January 1980 and December 1983. We also discuss the
complex anatomy of the xiphoid region.
