ArticleFrontiers in surgery2026
Use of a combined sublay-onlay "sandwich" technique for abdominal incisional hernia repair: a case report.
Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
An abdominal incisional hernia is one of the most common complications of abdominal surgery. Giant incisional hernias often make it difficult to choose an optimal treatment plan because of the large abdominal defects. This article reports the case of a large incisional hernia with an abdominal wall defect width of approximately 12 cm. We implemented a double-layer polypropylene patch repair technique combining sublay and onlay placement-a "sandwich" technique. The patient recovered smoothly postoperatively, and the 6-month follow-up showed good results for abdominal wall repair without recurrence. The "sandwich" technique was demonstrated to be a reliable strategy, and this case provides feasible ideas for doctors to treat such patients. This approach provides a solution for giant incisional hernias by overcoming the mechanical limitations associated with traditional single-layer mesh repairs, thereby ensuring better abdominal wall stability.
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