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Leigh A. Neumayer, MD, MS

Arch Surg. 2009;144(8):745.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

This retrospective single-surgeon series of 125 patients undergoing incisional hernia repair highlights many issues for both patient and surgeon when approaching these repairs. However, the methods for determining one of the main outcome measures, hernia recurrence, are not at all described. Despite this major flaw, the series provides some data that onlay mesh repair is fraught with high rates of recurrence and with continuation of the process that led to the hernia in the first place, with subsequent hernias developing late outside of the index repair. These results should lead most surgeons to consider application of the retrorectus technique in any patient with an incisional hernia, whether the approach to the repair is open or laparoscopic. Gleysteen has described the retrorectus technique sufficiently so that surgeons can replicate it in their practices. The repair described is notable in the suturing techniques of a running suture . . . [Full Text of this Article]

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Mesh-Reinforced Ventral Hernia Repair: Preference for 2 Techniques
John J. Gleysteen
Arch Surg. 2009;144(8):740-745.
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