ArticleFrontiers in surgery2021
The Grip Concept of Incisional Hernia Repair-Dynamic Bench Test, CT Abdomen With Valsalva and 1-Year Clinical Results.
Article in Frontiers in surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- The outcomes of open anterior component separation versus posterior component separation with transversus abdominis release for complex incisional hernias: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2023Pooled it
- Abdominal hernia mesh repair in patients with inflammatory bowel disease: A systematic review.Langenbeck's archives of surgery · 2022Pooled it
- One-year outcome after open inguinal hernia repair with self-fixated mesh: a randomized controlled trial.Langenbeck's archives of surgery · 2023Trial
- Clinical application of HEDI for biomechanical evaluation and visualisation in incisional hernia repair.Communications medicine · 2026Article
- Multimodal Prehabilitation for Hernia Repair: Linking Metabolic Modulation and Mechanical Methods.Biomedicines · 2025Review
- A virtual simulation study of the effects of laparotomy incision location and wound stiffness on abdominal wall mechanics.Scientific reports · 2025Article
- Quality of life and abdominal wall functionality after abdominal wall reconstruction: A prospective single center follow-up study.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Laparoscopic versus hybrid approach for treatment of incisional ventral hernia: a 5-10-year follow-up of the randomized controlled multicenter study.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- How I do it: using a hammock mesh in the reconstruction of inguinal ligament during a wide en-bloc resection of a groin mesenchymal tumor.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- STRONGHOLD first-year results of biomechanically calculated abdominal wall repair: a propensity score matching.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Biomechanical causes for failure of the Physiomesh/Securestrap system.Scientific reports · 2023Article
- Standardized suturing can prevent slackening or bursting suture lines in midline abdominal incisions and defects.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- Editorial: Mesh Complications in Hernia Surgery.Frontiers in surgery · 2022Article
- Primary and Recurrent Repair of Incisional Hernia Based on Biomechanical Considerations to Avoid Mesh-Related Complications.Frontiers in surgery · 2021Article
- Biomechanical Influences on Mesh-Related Complications in Incisional Hernia Repair.Frontiers in surgery · 2021Article
- Recommendations on Postoperative Activities After Abdominal Operations and Incisional Hernia Repair-A National and International Survey.Frontiers in surgery · 2021Article
Corrections and comments
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Authors and funding
12 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Incisional hernia is a frequent consequence of major surgery. Most repairs augment the abdominal wall with artificial meshes fixed to the tissues with sutures, tacks, or glue. Pain and recurrences plague at least 10-20% of the patients after repair of the abdominal defect. How should a repair of incisional hernias be constructed to achieve durability? Incisional hernia repair can be regarded as a compound technique. The biomechanical properties of a compound made of tissue, textile, and linking materials vary to a large extent. Tissues differ in age, exercise levels, and comorbidities. Textiles are currently optimized for tensile strength, but frequently fail to provide tackiness, dynamic stiction, and strain resistance to pulse impacts. Linking strength with and without fixation devices depends on the retention forces between surfaces to sustain stiction under dynamic load. Impacts such a coughing or sharp bending can easily overburden clinically applied composite structures and can lead to a breakdown of incisional hernia repair. Our group developed a bench test with tissues, fixation, and textiles using dynamic intermittent strain (DIS), which resembles coughing. Tissue elasticity, the size of the hernia under pressure, and the area of instability of the abdominal wall of the individual patient was assessed with low-dose computed tomography of the abdomen preoperatively. A surgical concept was developed based on biomechanical considerations. Observations in a clinical registry based on consecutive patients from four hospitals demonstrate low failure rates and low pain levels after 1 year. Here, results from the bench test, the application of CT abdomen with Valsalva's maneuver, considerations of the surgical concept, and the clinical application of our approach are outlined.
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